Individual provider · Type 1 NPI

Miranda Shea Boeh, NP

Family Nurse Practitioner · Portland, OR

NPI number 1649574443 Active

Practice location

17979 NE Glisan St
Portland, OR 97230-6507

Call (503) 962-1791 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X20366 (CA)
Family Nurse Practitioner Primary 363LF0000X201600700NP-PP (OR)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1649574443

Miranda Shea Boeh, NP's National Provider Identifier is 1649574443, issued on Jan 7, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Mar 29, 2021.