Jayli Chieko Miyamoto

NPI #1053046813 in Beaverton, Oregon

Provider Information

NPI Number: 1053046813
Entity Type: Individual
Name: Jayli Chieko Miyamoto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 17, 2022
Last Updated: Aug 2, 2024

Practice Location

Address: 14645 SW FARMINGTON RD
City: Beaverton
State: Oregon
ZIP Code: 97007-2727
Phone: (503) 643-8626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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