Organization
SHELLMIRE UNLIMITED, P.C.
Active
Organization
SHELLMIRE UNLIMITED, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHELLMIRE MSW, LCSW (CEO)
(503) 803-2309
Entity
Organization
Contact information
Practice address
4134 N VANCOUVER AVENUE, SUITE 102, PORTLAND, OR 97217
(503) 331-2548
(503) 331-2549
Mailing address
4134 N VANCOUVER AVENUE, SUITE 102, PORTLAND, OR 97217
(503) 331-2548
(503) 331-2549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2376
OR
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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