Mira Chetlen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2121 NE 139TH St Ste 200
Vancouver, WA 98686-2316

Phone

(360) 487-1778

NPI assigned

Jul 4, 2018

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleartalk Speech and Language Therapy, LLC

  dba Columba Pediatric Therapy

  • Speech-Language Pathologist
  • Vancouver, WA
  • NPI 1972013977
  NPD
• Legacy Salmon Creek Hospital

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1700809829
  NPD (past)
• Abilitypath

  • Early Intervention Provider Agency
  • Redwood City, CA
  • NPI 1669637625

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1912493743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862316",
            "telephone_number": "360-487-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETLEN",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Dental
• Cheryl a. Hamilton-Jefferson (Sheltered From the Storm Counseling)
• Cheryl Wilson Counseling, LLC
• Jennifer L Cheshire, CDP,CADCIII
• Marji Cheshire, LMT
• Michael Cam Hung Cheung, DC
• Zi-on Cheung
• Bruce Allan Chevalier, FNP
• Johanna Katherine Chevrier Ellis, LICSW, MSW
• Regan Elizabeth Chewning, PA-C

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.