Kevin C. Miyasato, LCSW

NPI #1184902504 in Beaverton, Oregon

Provider Information

NPI Number
1184902504
Entity Type
Individual
Name
Kevin C. Miyasato, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCSW
Enumeration Date
Aug 2, 2011
Last Updated
Jun 6, 2014

Practice Location

Address
12725 SW MILLIKAN WAY
Address 2
SUITE 300
State
Oregon
ZIP Code
97005-1678
Phone
(503) 906-7870

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical

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