OrganizationActive
A Healing Intention, LLC
NPI 1104236819 · Community/Behavioral Health Agency · Beaverton, OR
Provider details
- NPI number
- 1104236819
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kevin Miyasato, Owner(503) 906-7870
- License
- 5855 (OR)
Specialties & taxonomies
Agencies
Practice location
12725 Sw Millikan Way
Suite 300
Beaverton, OR 97005-1678
Phone: (503) 906-7870
Fax: (503) 906-7871
Approximate (ZIP-level) locationGet directions
Mailing address
12725 Sw Millikan Way
Beaverton, OR 97005-1678
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2014-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.