Individual
DR. CHARLES A KOSYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6608
(503) 797-6356
Mailing address
9400 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6608
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
60208164
WA
2085R0202X
Diagnostic Radiology Physician
Primary
182619
OR
Other
Enumeration date
06/08/2007
Last updated
02/27/2024
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