Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Louise Miyakawa, LCSW

Individual provider Clinical Social Worker · NPI 1790815900

Mrs. Mary Louise Miyakawa, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
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

3939 NE Hancock St Ste 210
Portland, OR 97212-5321
Phone: (503) 680-8064
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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 LW60144406 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1185 (OR)

Record details

NPI number1790815900
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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