Mary Louise Miyakawa in Portland - Clinical
Mary Louise Miyakawa - NPI 1790815900
Mary Louise Miyakawa is a Clinical in Portland, Oregon. Mary Louise Miyakawa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Louise Miyakawa is 1790815900. The last update date is 2007-07-08.
Mary Louise Miyakawa's current location address is 3939 Ne Hancock St Ste 210, Portland, Oregon. You can contact this provider via phone number 5036808064. The mailing address for Mary Louise Miyakawa is 3939 Ne Hancock St Ste 210, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Louise Miyakawa |
|---|---|
| Address | 3939 Ne Hancock St Ste 210, Portland, Oregon |
| Phone Number | 5036808064 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1790815900 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3939 Ne Hancock St Ste 210 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972125321 |
| Phone Number | 5036808064 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1185 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Mary Louise Miyakawa by the Centers for Medicare & Medicaid Services?
The Mary Louise Miyakawa has been issued the NPI (National Provider Identifier) 1790815900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Louise Miyakawa?
The Mary Louise Miyakawa is situated at 3939 Ne Hancock St Ste 210, in the city of Portland, state of OR, with the zip code 972125321.
What is Mary Louise Miyakawa's area of expertise and its corresponding taxonomy classification?
The Mary Louise Miyakawa's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790815900 to Mary Louise Miyakawa?
The Centers for Medicare & Medicaid Services originally issued the 1790815900 to Mary Louise Miyakawa on 2007-03-06.
When was the Mary Louise Miyakawa's information last updated?
The Mary Louise Miyakawa's information was last updated on 2007-07-08.
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