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1407900905
SHELLY LYNN MCMULLEN
PORTLAND, OR
NPI
1407900905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- SHELLY LYNN MCMULLEN BA QMHA
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-803-7624
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Mailing Address
-- SHELLY LYNN MCMULLEN BA QMHA
1942 SE 30TH AVE APT A
PORTLAND, OR 97214-4900
Phone number: 503-816-5449
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