A Healing Intention, Llc

LBN: A Healing Intention, Llc
A Healing Intention, Llc is an health care organization with primary practice located at 12725 Sw Millikan Way Suite 300, Beaverton OR 97005-1678. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. A Healing Intention, Llc can be contacted via phone (503) 906-7870, or through Miyasato, Kevin C via phone (503) 906-7870.

Contact Information

Primary practice address
12725 Sw Millikan Way Suite 300 Beaverton OR 97005-1678
Phone: (503) 906-7870
Fax: (503) 906-7871
Website:
Map and Directions
Authorized official contact:
Name: Miyasato, Kevin C Licensed Clinical Social Worker (LCSW)
Phone: (503) 906-7870

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 5855 Oregon

Profile Details

NPI number 1104236819
LBN Legal business name A Healing Intention, Llc
DBA Doing business as
Authorized official Miyasato, Kevin C Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2014
Last updated Jun 6th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104236819 NPPES
Oregon MEDICAID 500670052

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