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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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