SHELLMIRE UNLIMITED, P.C.
Agencies at Vancouver Ave, Portland, OR

License number
Oregon 2376
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: RAY SHELLMIRE MSW, LCSW
Title: CEO
Phone: (503) 803-2309
Address
Address
4134 N Vancouver Ave SUITE 102, Portland, OR 97217
National Provider ID: 1659793107
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHELLMIRE UNLIMITED, PC

Portland, OR

Industry:
Individual/Family Services
Registration:
Sep 28, 2010
Addresses:
4134 N Vancouver Ave STE 102, Portland, OR 97217 (Physical)
872 NE 166 Ave, Portland, OR 97230 (Mailing)
State ID:
71587795
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principal:
Ray Shellmire (Principal)
Agent:
Ray Ashellmire,4134 N Vancouver Ave STE 102, Portland, OR 97217 (Physical)

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