Provider Type Icon

SHELLMIRE UNLIMITED P.C. NPI 1659793107


NPI Information

NPI: 1659793107
Provider Name: SHELLMIRE UNLIMITED, P.C.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4134 N VANCOUVER AVENUE, SUITE 102
PORTLAND, OR
ZIP 97217
Phone: (503) 331-2548
Get Directions

SHELLMIRE UNLIMITED, P.C. is a community behavioral health in Portland, OR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SHELLMIRE UNLIMITED, P.C. NPI is 1659793107. The provider is registered as an organization entity type.

The provider's business location address is:

4134 N VANCOUVER AVENUE, SUITE 102
PORTLAND, OR
ZIP 97217
Phone: (503) 331-2548
Fax: (503) 331-2549

The provider's authorized official is Ray Shellmire .
The authorized official title is Ceo and has the following contact phone number (503) 803-2309.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health2376OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.