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

Miranda Shea Boeh, NP

Individual provider Family Nurse Practitioner · NPI 1649574443

Miranda Shea Boeh, NP is a Nurse Practitioner in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
16
Licensed in
CA, OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

17979 NE Glisan St
Portland, OR 97230-6507
Phone: (503) 962-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201600700NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 20366 (CA)

Record details

NPI number1649574443
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 7, 2011
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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