SearchOregon163W00000X

Lisa Miyamoto

NPI 1922638667 · on the registry since 2020

Practice

Address
12133 E Burnside St
Portland, OR 97216
Phone
(971) 361-7700
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon