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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIARA CAMILLE MINA DO
NPI 1467040790
Family Medicine in Lake Oswego, OR

Active since January 03, 2021PECOS Enrolled
18010 SW MCEWAN RD, LAKE OSWEGO, OR 97035(503) 525-7500 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, May 5, 2023, Jan 3, 2021 (3 updates tracked since 2021).

About Kiara Camille Mina Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIARA CAMILLE MINA DO (NPI 1467040790) is an individual family medicine provider in Lake Oswego, Oregon, licensed in Oregon (DO230345) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Corvallis.

NPPES Registry Identity

NPI1467040790
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIARA CAMILLE MINACredential: DO
Location Address18010 SW MCEWAN RDLake Oswego, OR 97035-7868
Mailing AddressPo Box 6689Portland, OR 97228-6689 · (503) 413-3900 · Fax (503) 413-3710
Phone(503) 525-7500
Sole ProprietorNo
Enumeration DateJanuary 3, 2021
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1467040790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO230345
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18010 SW MCEWAN RD, Lake Oswego, OR 97035
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Secondary Practice Location 1

Location 13600 NW Samaritan DrCorvallis, OR 97330-5472 · Phone (541) 259-0235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiara Camille Mina Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY J HEISEL MD
Internal Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
JORDAN DAVID SMITH M.D.
Internal Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
REN SHIRAI DO
Family Medicine
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500
TANELL E. OGBEIDE C.F.N.P.
Nurse Practitioner
18010 SW MCEWAN RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 525-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiara Mina's NPI number?

The NPI number for Kiara Mina is 1467040790. It was assigned to this individual provider in the NPPES registry on January 3, 2021.

Where is Kiara Mina located?

Kiara Mina practices at 18010 SW Mcewan Rd, Lake Oswego, OR 97035. The listed phone number is (503) 525-7500.

What is Kiara Mina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kiara Mina enrolled in Medicare?

Yes. Kiara Mina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiara Mina was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.