Individual
DRAKE MIYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
831 NW COUNCIL DR STE 300, GRESHAM, OR 97030-3725
(503) 258-4600
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
07/26/2022
Last updated
03/09/2023
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