Mira E Shah, M.S. CCC-SLP

NPI #1003080664 in Portland, Oregon

Provider Information

NPI Number
1003080664
Entity Type
Individual
Name
Mira E Shah, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Apr 15, 2008
Last Updated
Apr 15, 2008

Practice Location

Address
2855 SE 61ST AVENUE
State
Oregon
ZIP Code
97206-1320
Phone
(503) 348-0931

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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