RAY A. SHELLMIRE LCSW
NPI 1043428386
Counselor - Mental Health in Portland, OR

Active since May 18, 2007
4134 N VANCOUVER AVE, SUITE 102, PORTLAND, OR 97217(503) 331-2548(503) 331-2549 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ray A. Shellmire Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAY A. SHELLMIRE LCSW (NPI 1043428386) is an individual mental health provider in Portland, Oregon, licensed in Oregon (2376) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1043428386
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRAY A. SHELLMIRECredential: LCSW
Location Address4134 N VANCOUVER AVE, SUITE 102Portland, OR 97217-2900
Mailing Address872 Ne 166th AvePortland, OR 97230-6164 · (503) 288-2767 · Fax (503) 288-2767
Fax(503) 331-2549
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1043428386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 2376
4134 N VANCOUVER AVE, Portland, OR 97217

Other Identifiers 1

Other167863 SCOR · Omap

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4134 N VANCOUVER AVE
PORTLAND, OR 97217
Counselor (Addiction (Substance Use Disorder))
4134 N VANCOUVER AVE, SUITE 303C
PORTLAND, OR 97217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Shellmire's NPI number?

The NPI number for Ray Shellmire is 1043428386. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Ray Shellmire located?

Ray Shellmire practices at 4134 N Vancouver Ave Suite 102, Portland, OR 97217. The listed phone number is (503) 331-2548.

What is Ray Shellmire's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ray Shellmire was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.