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

Mr. Shivaprakash Shivanna

Individual provider Speech-Language Pathologist · NPI 1376411439

Mr. Shivaprakash Shivanna is a Speech-Language Pathologist in Milwaukie, Oregon. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Phone: (626) 283-0101
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 17676 (CA)

Record details

NPI number1376411439
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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