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NPI Code Detail

MEDICARE: KILEY LAURENE SHORTHOUSE

MEDICARE: KILEY LAURENE SHORTHOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCG70148305WA

General Provider Information

NPI Number : 1811822281
Entity Type Code : Individual
Provider Name (Legal Business Name) : KILEY LAURENE SHORTHOUSE
Provider Business Mailing Address
First Line : 3600 MERIDIAN ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1732
Country : US
Telephone Number : 360-676-6000
Fax Number :
Provider Business Practice Location Address
First Line : 3600 MERIDIAN ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1732
Country : US
Telephone Number : 360-676-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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1235064940 — LORI WICKHAM
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Directions to “ KILEY LAURENE SHORTHOUSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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