Miyamoto, Mika

Miyamoto, Mika is an sole proprietor health care provider with primary practice located at 500 Nw 10Th Ave , Portland OR 97209-3364. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Miyamoto, Mika can be contacted via phone (503) 977-3275.

Contact Information

Primary practice address
500 Nw 10Th Ave Portland OR 97209-3364
Fax: (503) 546-3014
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7625 Oregon

Profile Details

NPI number 1891792271
LBN Legal business name Miyamoto, Mika
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Mar 27th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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