Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912493743 Individual Practitioner Female Practitioner

Mira Chetlen

Speech-Language Pathologist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Mira Chetlen is a registered healthcare professional specializing in Speech-Language Pathologist in Vancouver, WA. Practice services are available at 2121 NE 139TH ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 Ne 139th St Ste 200

Vancouver, WA 986862316

Telephone 3604871778

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
266 Specialists

Practicing in Vancouver, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Hannah Alexander , DPT

Physical Therapist

NPI 1760094726

Doctor of Physical Therapy

Karla Cruz Cupa

Speech-Language Pathologist

NPI 1871471383

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 09, 2025

Registered at 2121 NE 139TH ST STE 200, VANCOUVER, WA 986862316 (Tel: 3604871778)

📍
Updated Business Mailing Address December 09, 2025

Registered at 2121 NE 139TH ST STE 200, VANCOUVER, WA 986862316

📍
Updated Practice Location April 21, 2022

Registered at 16703 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 986834301 (Tel: 3609897347)

📍
Updated Business Mailing Address April 21, 2022

Registered at 9119 N BOXWOOD ST, CAMAS, WA 986077503

NPI Profile Active July 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2018

Registered at 1764 MARCO POLO WAY, BURLINGAME, CA 940104503 (Tel: 6502598500)

📍
Updated Business Mailing Address July 04, 2018

Registered at 2000 CRYSTAL SPRINGS RD APT 1835, SAN BRUNO, CA 940664647

👤
Provider Name / Credentials Updated July 04, 2018

Recorded as MIRA CHETLEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2018

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration July 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912493743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2018
Last Update: December 09, 2025
Sole Proprietor: No

Mailing Address

2121 Ne 139th St Ste 200

Vancouver, WA 986862316

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.