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Search › Oregon › 1041C0700X

Kevin Miyasato, LCSW

NPI 1184902504 · on the registry since 2011 · sole proprietor

Practice

Address
12725 Sw Millikan Way
Suite 300
Beaverton, OR 97005
Phone
(503) 906-7870
Fax
(503) 906-7871
Organisation at this address
Pjs, Llc
Sam-U-L, Llc
Neupathway Llc
Restoring Balance Llc
Serenity Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
1041C0700X
Licence states on file
NV, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon