Individual
DR. MIKA MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
500 NW 10TH AVE, PORTLAND, OR 97209-3364
(503) 977-3275
(503) 546-3014
Mailing address
500 NW 10TH AVE, PORTLAND, OR 97209-3364
(503) 977-3275
(503) 546-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7625
OR
Other
Enumeration date
06/30/2005
Last updated
03/27/2024
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