KEVIN MIYASATO, LCSW

Social Worker - Clinical

Active Individual
NPI: 1184902504

Practice Address

12725 SW MILLIKAN WAY
SUITE 300
Beaverton, OR 97005

Phone: (503) 906-7870

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 00686 (NV)
Social Worker - Clinical 1041C0700X Yes 5855 (OR)

Frequently Asked Questions

NPI 1184902504 is the National Provider Identifier for KEVIN MIYASATO, LCSW, a Social Worker - Clinical provider located in Beaverton, OR. This NPI was enumerated on August 2, 2011.
KEVIN MIYASATO, LCSW practices at 12725 SW MILLIKAN WAY, SUITE 300, Beaverton, OR 97005.

Quick Facts

NPI
1184902504
Type
Individual
Enumerated
Aug 2, 2011
Last Updated
Jun 6, 2014

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