Active NPI
Iliana Melissa Rauda Gaona, PTA
- Physical Therapy Assistant
- Clackamas, OR
National Provider Identifier
1922915966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10191
- Practice address
- 8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805 - Phone
- (503) 607-2226
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10191 | OR | Primary |
Addresses
Primary practice location
8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805
Mailing address
252 NW Connell Ave
Hillsboro, OR 97124-2910
Phone (503) 805-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1922915966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 NW CONNELL AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971242910",
"telephone_number": "503-805-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 SE SUNNYBROOK BLVD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156805",
"telephone_number": "503-607-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUDA GAONA",
"first_name": "ILIANA",
"middle_name": "MELISSA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "10191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.