Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin C. Miyasato, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184902504

Kevin C. Miyasato, LCSW is an Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Nevada and Oregon.

Licensed in
NV, OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1678
Phone: (503) 906-7870
Fax: (503) 906-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5855 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00686 (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5214-S (NV)

Record details

NPI number1184902504
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 2, 2011
Last updated in NPPESJune 6, 2014

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