Individual provider Active NPI

Iliana Melissa Rauda Gaona, PTA

  • Physical Therapy Assistant
  • Clackamas, OR
National Provider Identifier
1922915966
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
10191 Issued in OR
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.