Kevin Charles Miyasato (NPI# 1184902504, PAC ID# 2860616661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1184902504 |
| PAC ID by PECOS | 2860616661 |
| Professional Enrollment ID | I20140618000803 |
| Full Name | Kevin Charles Miyasato |
| Address |
12655 Sw Ctr St Suite 320 Beaverton OR 97005-1624 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12655 Sw Ctr St, Suite 320, Beaverton, OR 97005-1624 |
| Street Address |
12655 SW CTR ST SUITE 320 |
| City | BEAVERTON |
| State | OR |
| Zip | 97005-1624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica S Froman-reid | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Beaverton, OR 97005 |
| Cynthia Crowley Carr | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Roammie H Ko | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Beaverton, OR 97005 |
| Anne M Willis | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Laurie A Mahlbauer | Nurse Practitioner | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Margo C Pactanac | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Martha Villegas-gutierroz | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Carrie Lynn Binder | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Leslie Cody | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| David P Harris | Physical Therapy | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Find all physicians in zip 97005 | |||
| City | BEAVERTON |
| Zip Code | 97005 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BEAVERTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kevin Charles Miyasato.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.