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1043428386
RAY A. SHELLMIRE
PORTLAND, OR
NPI
1043428386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 2376)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- RAY A. SHELLMIRE LCSW
4134 N VANCOUVER AVE SUITE 102
PORTLAND, OR 97217-2900
Phone number: 503-331-2548
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Mailing Address
-- RAY A. SHELLMIRE LCSW
872 NE 166TH AVE
PORTLAND, OR 97230-6164
Phone number: 503-288-2767
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