IndividualActive
Mira Shah, M.S. CCC-SLP
NPI 1003080664 · Speech-Language Pathologist · Portland, OR
Provider details
- NPI number
- 1003080664
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11905 (OR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2855 Se 61st Avenue
Portland, OR 97206-1320
Phone: (503) 348-0931
Street-level locationGet directions
Mailing address
2855 Se 61st Avenue
Portland, OR 97206-1320
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2008-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.