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Mira Shah M.S. CCC-SLP NPI 1003080664

Classification
Speech-Language Pathologist
Type
License No.
11905
License State
OR
Certified
Location

Additional Identifiers

Medical School
Yes
Graduation Year
0
Identifier
Type
State
Identifier: 09121071
Type: OTHER (01)
State:
Identifier: 4B3VBDX2W6CCB6CWCKMF
Type: OTHER (01)
State: WA
Identifier: 11905
Type: OTHER (01)
State: OR

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
2855 SE 61ST AVENUE, PORTLAND, OR, 97206
Business Phone
503-348-0931
Mailing Address
2855 SE 61ST AVENUE, PORTLAND, OR, 972061320
Mailing Phone
503-348-0931
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