MIRA E SHAH M.S. CCC-SLP
NPI 1003080664
Speech-Language Pathologist in Portland, OR

Active since April 15, 2008
2855 SE 61ST AVENUE, PORTLAND, OR 97206(503) 348-0931 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mira E Shah M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA E SHAH M.S. CCC-SLP (NPI 1003080664) is an individual speech-language pathologist provider in Portland, Oregon, licensed in Oregon (11905) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1003080664
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIRA E SHAHCredential: M.S. CCC-SLP
Location Address2855 SE 61ST AVENUEPortland, OR 97206-1320
Mailing Address2855 Se 61st AvenuePortland, OR 97206-1320 · (503) 348-0931
Sole ProprietorYes
Enumeration DateApril 15, 2008
NPI 1003080664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in OR · 11905
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2855 SE 61ST AVENUE, Portland, OR 97206

Other Identifiers 3

Other09121071Asha
Other4B3VBDX2W6CCB6CWCKMFWA · State License
Other11905OR · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Shah's NPI number?

The NPI number for Mira Shah is 1003080664. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Mira Shah located?

Mira Shah practices at 2855 SE 61st Avenue, Portland, OR 97206. The listed phone number is (503) 348-0931.

What is Mira Shah's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mira Shah was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.