| A Healing Intention, Llc | |
|
12725 Sw Millikan Way Suite 300 Beaverton OR 97005-1678 | |
| (503) 906-7870 | |
| (503) 906-7871 |
| Full Name | A Healing Intention, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12725 Sw Millikan Way, Beaverton, Oregon |
| Authorized Official Name and Position | Kevin C Miyasato (OWNER) |
| Authorized Official Contact | 5039067870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healing Intention, Llc 12725 Sw Millikan Way Suite 300 Beaverton OR 97005-1678 Ph: (503) 906-7870 | A Healing Intention, Llc 12725 Sw Millikan Way Suite 300 Beaverton OR 97005-1678 Ph: (503) 906-7870 |
| NPI Number | 1104236819 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 06/06/2014 |
| Medicare PECOS PAC ID | 9335363126 |
|---|---|
| Medicare Enrollment ID | O20140618000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104236819 | NPI | - | NPPES |
| 500670052 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5855 (Oregon) | Primary |
| Provider Name | Kevin Charles Miyasato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184902504 PECOS PAC ID: 2860616661 Enrollment ID: I20140618000803 |
| Provider Name | Andrew R Vogler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003366378 PECOS PAC ID: 7214346105 Enrollment ID: I20210505001595 |
| Provider Name | Regina E Vander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518001734 PECOS PAC ID: 1153730791 Enrollment ID: I20210511001506 |
| Provider Name | Jenna Urban |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700221629 PECOS PAC ID: 4981147204 Enrollment ID: I20240614002494 |
Restoring Balance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005 Phone: 503-749-9076 | |
Empowered Resilience Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3865 Sw Hall Blvd, Beaverton, OR 97005 Phone: 971-477-4050 | |
Neekee Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16100 Nw Cornell Rd Ste 220, Beaverton, OR 97006 Phone: 971-500-6799 Fax: 503-922-6676 | |
Living Waters Counsel Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14376 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-567-7604 | |
Wisdom Serenity Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005 Phone: 971-325-2625 | |
Sophia Hang, Psy. D. (sole Proprietor) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6935 S.w. Hall Blvd, Beaverton, OR 97008 Phone: 503-642-2086 Fax: 508-649-3628 | |
Starlight Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18330 Sw Deline St, Beaverton, OR 97078 Phone: 602-622-5917 |