SHELLY LYNN MCMULLEN BA QMHA
NPI 1407900905
Case Manager/Care Coordinator in Portland, OR

Q: What is Shelly Mcmullen's NPI number?

The NPI number for Shelly Mcmullen is 1407900905. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Shelly Mcmullen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Mcmullen 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.

Active since January 22, 2007

412 SW 12TH AVE, PORTLAND, OR 97205(503) 803-7624(503) 944-2595 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelly Lynn Mcmullen Ba Qmha NPPES

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

SHELLY LYNN MCMULLEN BA QMHA (NPI 1407900905) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407900905

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSHELLY LYNN MCMULLENCredential: BA QMHA

Location Address412 SW 12TH AVEPortland, OR 97205-2329

Mailing Address1942 Se 30th Ave Apt APortland, OR 97214-4900 · (503) 816-5449

Phone(503) 803-7624

Fax(503) 944-2595

Sole ProprietorYes

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407900905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

412 SW 12TH AVE, Portland, OR 97205

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Other Providers at the Same Location NPPES 20

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

MR. GREGORY S BELL QMHA

Case Manager/Care Coordinator