NPI 1003080664

Mira E Shah, MSCCCSLP

Practitioner Speech-Language Pathologist Portland, OR

Practice location

Address: 2855 SE 61st Avenue, Portland, OR 97206-1320
Phone: (503) 348-0931

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 11905 (OR)

Other Speech-Language Pathologist providers in Oregon →

Registry record

NPI: 1003080664
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2008
Record last updated: 15 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.