MIRA E SHAH

PORTLAND, OR
NPI1003080664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  11905)
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
-- MIRA E SHAH M.S. CCC-SLP
2855 SE 61ST AVENUE
PORTLAND, OR 97206-1320
Phone number: 503-348-0931
Mailing Address
-- MIRA E SHAH M.S. CCC-SLP
2855 SE 61ST AVENUE
PORTLAND, OR 97206-1320
Phone number: 503-348-0931