Shay Latsch Miles, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1295515211
StatusActive
Last updated in NPPESAug 4, 2026
Details
- NPI
- 1295515211
- Entity type
- Individual (NPI-1)
- Name
- Shay Latsch Miles
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2023
- Certification date
- Aug 4, 2026
- Last updated
- Aug 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10065099 | OR | Yes |
| 163W00000X | Registered Nurse | 201800052RN | OR |
Practice location
3455 Sw Us Veterans Hospital RdPortland, OR 97239-3076
Phone 503-494-7444
Mailing address
3455 Sw Us Veterans Hospital RdPortland, OR 97239-3076
Phone 503-494-7444
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