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

Mira E Shah, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1003080664

Mira E Shah, MSCCC-SLP is a Speech-Language Pathologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008

Practice location Address checks out

2855 SE 61st Ave
Portland, OR 97206-1320
Phone: (503) 348-0931
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11905 (OR)

Record details

NPI number1003080664
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedApril 15, 2008
Last updated in NPPESApril 15, 2008

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