Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phillip K Kiyasu, MD

Individual provider Gastroenterology Physician · NPI 1124010673

Phillip K Kiyasu, MD is a Gastroenterology in Portland, Oregon. Graduated from Tulane University School of Medicine in 1987, 39 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
39
Trained at
Tulane University School of Medicine
Licensed in
OR, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1111 NE 99th Ave Ste 301
Portland, OR 97220-9428
Phone: (503) 963-2707
Fax: (503) 963-2802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9300 Se 91st Ave Ste 300, Clackamas, OR 97086-3762 — (503) 963-2707

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD18844 (OR)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD60293921 (WA)

Record details

NPI number1124010673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland