Individual
DR. SCOTT KEOLA MIYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6902 SE LAKE RD, STE 100, MILWAUKIE, OR 97267-2148
(503) 786-1167
(503) 786-1153
Mailing address
6902 SE LAKE RD, STE 100, MILWAUKIE, OR 97267-2148
(503) 786-1167
(503) 786-1153
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD00045274
WA
207RN0300X
Nephrology Physician
Primary
MD24235
OR
Other
Enumeration date
08/19/2006
Last updated
02/04/2022
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