NPI 1053046813

Jayli Chieko Miyamoto

Practitioner Physical Therapy Assistant Beaverton, OR

Practice location

Address: 14645 SW Farmington Rd, Beaverton, OR 97007-2727
Phone: (503) 643-8626
Mailing address: 4560 SE International Way STE 100, Milwaukie, OR 97222-4628

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1053046813
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2022
Record last updated: 2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.