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Ray A. Shellmire, LCSW
Mental Health Counselor in Portland, Oregon
NPI 1043428386

Ray A. Shellmire is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Ray A. Shellmire practices in Portland, OR and has the professional credentials of LCSW. The NPI Number for Ray A. Shellmire is 1043428386 and holds a License No. 2376 (Oregon).

The current practice location address for Ray A. Shellmire is 4134 N Vancouver Ave, Portland, OR and can be reached out via phone at 503-331-2548 and via fax at 503-331-2549.

Location: 4134 N Vancouver Ave, Portland, OR, 97230-6164
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Provider Profile Details
NPI Number
1043428386
Provider Name
Ray A. Shellmire
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
4134 N Vancouver Ave, Portland, OR, 97230-6164
Phone Number
503-331-2548
Fax Number
503-331-2549
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167863 SC 01 OR OMAP
institution
Provider Business Practice Location Address Details
Address
4134 N Vancouver Ave
City
State
Zip
97217-2900
Phone Number
503-331-2548
Fax Number
503-331-2549
person
Provider Business Mailing Address Details
Address
4134 N Vancouver Ave
City
State
Zip
97217-2900
Phone Number
503-331-2548
Fax Number
503-331-2549
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2376 (Oregon)
Definition
Definition to come...
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