Individual
TIA KINILAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16083 SW UPPER BOONES FERRY RD STE 130, TIGARD, OR 97224-7737
(503) 603-9087
Mailing address
2551 NE LORIE DR, HILLSBORO, OR 97124-4020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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