Search › Oregon › 2083A0300X
Kevin Kosik, CADC-R ,QMHA-R, D.O
NPI 1629820071 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3374 Se Holgate Blvd
Portland, OR 97202 - Phone
- (877) 303-1950
- Fax
- (503) 715-4175
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2083A0300X
2083A0300X
- Also registered as
- 172V00000X
101YA0400X
101YM0800X
101YM0800X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon