Kevin C. Miyasato
LCSW | Addiction (Substance Use Disorder) Counselor | 17+ years Exp
12725 Sw Millikan Way, Suite 300, Beaverton
Oregon, 97005-1678
503-906-7870 503-906-7871
Maps & DirectionsKevin C. Miyasato is a Beaverton, Oregon based counselor with 17 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin C. Miyasato is 5855 for Social Worker in Oregon. His current practice location is 12725 Sw Millikan Way, Suite 300, Beaverton. Patients can book an appointment with him at 503-906-7870.
Kevin C. Miyasato is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Kevin C. Miyasato speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kevin C. Miyasato |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | LCSW |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12725 Sw Millikan Way, Suite 300, Beaverton, Oregon, 97005-1678 |
| Phone: | 503-906-7870 |
| Fax: | 503-906-7871 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2860616661 |
| Enrollment ID: | I20140618000803 |
| NPI Number: | 1184902504 |
| NPI Enumeration Date: | 02 Aug, 2011 |
| NPI Last Update On: | 06 Jun, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin C. Miyasato are as mentioned below.
| License Number | Specialization | State | Status | |
| 5855 | Social Worker | Oregon | Primary | |
| 00686 | Addiction (Substance Use Disorder) Counselor | Nevada | Secondary | |
| 5214-S | Social Worker | Nevada | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin C. Miyasato such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500670052 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12725 Sw Millikan Way, Suite 300 Beaverton, Oregon |
| Zip: | 97005-1678 |
| Phone Number: | 503-906-7870 |
| Fax Number: | 503-906-7871 |
Patients can reach Kevin C. Miyasato at
12725 Sw Millikan Way, Suite 300, Beaverton, Oregon or can
call to book an appointment on 503-906-7870.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.