Individual provider · Type 1 NPI

Ray A. Shellmire, LCSW

Mental Health Counselor · Portland, OR

NPI number 1043428386 Active

Practice location

4134 N Vancouver Ave, Suite 102
Portland, OR 97217-2900

Call (503) 331-2548 Map

Fax (503) 331-2549

Mailing address

872 NE 166th Ave
Portland, OR 97230-6164

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2376 (OR)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1043428386

Ray A. Shellmire, LCSW's National Provider Identifier is 1043428386, issued on May 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.