Individual
KIONA P COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 NE 122ND AVE STE 100, PORTLAND, OR 97230-2011
(503) 408-7010
(503) 408-7035
Mailing address
1350 NE 122ND AVE STE 100, PORTLAND, OR 97230-2011
(503) 408-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10046112
TX
207Q00000X
Family Medicine Physician
Primary
MD228947
OR
207Q00000X
Family Medicine Physician
Q6167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355357002
—
TX
05
—
355357003
—
TX
01
—
476950YN3X
MEDICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-066
TRICARE
TX
01
—
75-2616977-113
TRICARE
TX
01
—
75-2771569-008
TRICARE
TX
01
—
8FS771
BCBS
TX
01
—
8FS774
BCBS
TX
01
—
8GW409
BCBS
TX
01
—
P01617616
RAIL ROAD MEDICARE
TX
01
—
P01618252
RAIL ROAD MEDICARE
TX
01
—
P01844883
RAIL ROAD MEDICARE
TX
Enumeration date
06/05/2013
Last updated
05/20/2026
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