Individual
KIT MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5947
Mailing address
7711 SW CAPITOL HWY UNIT 415, PORTLAND, OR 97219-2597
(408) 710-2396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18585
OR
Other
Enumeration date
07/28/2025
Last updated
09/23/2025
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