Organization
SHELLMIRE UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY A. SHELLMIRE LCSW (DIRECTOR)
(503) 676-3710
Entity
Organization
Contact information
Practice address
5257 NE MLK JR BLVD, PORTLAND, OR 97211-3282
(503) 676-3710
(503) 331-2549
Mailing address
5257 NE MLK JR BLVD, PORTLAND, OR 97211-3282
(503) 676-3710
(503) 331-2549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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