Agency Information

AMBER MARIE SCISM AGENCY

Address:

1846 N MCCLLEAN ST

PORTLAND, OR 97217

Phone

503-206-5850

URL:

www.insurepnw.com

Email:

amber.scism.xmwl@statefarm.com

National Producer Number:

19177726

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3697897	07/22/2021	Active	07/22/2021	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/22/2021	Active	07/22/2021
Health	07/22/2021	Active	07/22/2021
Life	07/22/2021	Active	07/22/2021
Property	07/22/2021	Active	07/22/2021

Company Name	Appointment Type	Status	Active Date
613
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	07/26/2021
	Property	Active	07/26/2021
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	07/26/2021
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	07/26/2021
	Health	Active	07/26/2021
	Property	Active	07/26/2021

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
AMBER MARIE SCISM	Designated Resp Lic Prdcr	No	07/22/2021	-

1 - 1