Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelly Lynn McMullen, BAQMHA

Individual provider Case Manager/Care Coordinator · NPI 1407900905

Shelly Lynn McMullen, BAQMHA is a Case Manager/Care Coordinator in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 803-7624
Fax: (503) 944-2595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1407900905
Entity typeIndividual (Type 1)
GenderFemale
Credentials BAQMHA
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 8, 2007

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