Wilson Paul Kisambira

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

10018221 Issued in OR

Practice address

19824 SW 72ND Ave Ste 202
Tualatin, OR 97062-8398

Phone

(781) 309-8976

NPI assigned

Dec 5, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1972319945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19824 SW 72ND AVE STE 202",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628398",
            "telephone_number": "781-309-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19824 SW 72ND AVE STE 202",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628398",
            "telephone_number": "781-309-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISAMBIRA",
        "first_name": "WILSON",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "10018221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoon DO Kim, LMT
• Erin Kincaid, DPT, CLT
• Heather J Kinney, D.C.
• Jonathan Thomas Kinney, D.C.
• Amanda Kirchem, LMT
• Kimberly Li Ching Michiko Kisor, M.D.
• Lisa S Kispert, DDS
• Kkrueger Corporation
• Paul A Klas, M.D.
• Kleiman Healthcare Services

• Nurse's Aide in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.