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1013643675
DRAKE MIYAKE
GRESHAM, OR
NPI
1013643675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2022-07-26
Last Update Date
2023-03-09
Business Address
DRAKE MIYAKE MSW
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030-3725
Phone number: 503-258-4600
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Mailing Address
DRAKE MIYAKE MSW
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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