Individual
MELISSA S SHIVELL-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII, CRC
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 239-8429
Mailing address
11515 NE 49TH ST, MM101, VANCOUVER, WA 98682-6144
(503) 957-3418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01R15
OR
101YP2500X
Professional Counselor
Primary
00093194
IL
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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