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KA'IMIALAIMAKA LA VINE PMHNP-BC
NPI 1629802632
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since August 30, 2024PECOS Enrolled
10700 SW BEAVERTON HILLSDALE HWY STE 560, BEAVERTON, OR 97005(503) 230-7007 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 20, 2025, Mar 9, 2025 and 1 more (4 updates tracked since 2024).

About Ka'imialaimaka La Vine Pmhnp-bc NPPES

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

KA'IMIALAIMAKA LA VINE PMHNP-BC (NPI 1629802632) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (10030537) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629802632
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKA'IMIALAIMAKA LA VINECredential: PMHNP-BC
Location Address10700 SW BEAVERTON HILLSDALE HWY STE 560Beaverton, OR 97005-4791
Mailing Address10700 Sw Beaverton Hillsdale Hwy Ste 560Beaverton, OR 97005-4791 · (971) 238-4543
Phone(503) 230-7007
Sole ProprietorYes
Enumeration DateAugust 30, 2024
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1629802632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10030537
10700 SW BEAVERTON HILLSDALE HWY STE 560, Beaverton, OR 97005
Open in Google Maps ↗

Other Names 1

Former Name (1)Joseph Ka'imialaimaka La Vine Pmhnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ka'imialaimaka La Vine Pmhnp-bc 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 97005 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 20

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

GEORGE POLISZUK LMFT
Counselor (Mental Health)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (503) 568-1115
WISDOM SERENITY LLC
Social Worker (Clinical)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (971) 325-2625
KELLY RAE STRIDER LPC, CADC III
Counselor (Professional)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (503) 704-5061
PACIFICEMDR LLC
Clinic/Center (Adult Mental Health)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (971) 341-7542
CHERIE THOMPSON LPC
Counselor (Mental Health)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (503) 597-8684
DEBBIE YORO
Social Worker (Clinical)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (971) 350-9852
MIKAYLA SCHMITZ
Counselor (Mental Health)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (503) 567-9920
NEXUS WEST COUNSELING
Counselor (Mental Health)
10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON, OR 97005
Washington County (503) 568-1115

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 Ka'imialaimaka La Vine's NPI number?

The NPI number for Ka'imialaimaka La Vine is 1629802632. It was assigned to this individual provider in the NPPES registry on August 30, 2024. The provider is also known as Joseph Ka'imialaimaka La Vine Pmhnp.

Where is Ka'imialaimaka La Vine located?

Ka'imialaimaka La Vine practices at 10700 SW Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005. The listed phone number is (503) 230-7007.

What is Ka'imialaimaka La Vine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ka'imialaimaka La Vine enrolled in Medicare?

Yes. Ka'imialaimaka La Vine is registered in the Medicare PECOS enrollment system.

What insurance does Ka'imialaimaka La Vine accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ka'imialaimaka La Vine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ka'imialaimaka La Vine was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.