Tia Kinilau

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737

Phone

(503) 603-9087

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tia.kinilau@897273817595908.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgeport Family Medicine LLC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1205236445
  NPD
• Fornance Physician Services, Inc.

  dba Emergency Group Fornance

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1013997386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1326747890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NE LORIE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971244020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247737",
            "telephone_number": "503-603-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINILAU",
        "first_name": "TIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gates T King
• Georgia King
• Kelly Marie King, P.A.
• Sonya M King, LMT
• Terrence King
• Maryse Kintz
• Kate Bernadette Kipers
• Elisabeth Narda Kisan-Vitela
• Jami Kisling, RN
• Nichole Kistler

• Physician Assistant in Tigard, OR
• Providers in Tigard, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.