Individual
PATRICIA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9975 SW FREWING ST STE 130, TIGARD, OR 97223-5091
(503) 906-3596
Mailing address
9975 SW FREWING ST STE 130, TIGARD, OR 97223-5091
(503) 906-3596
(503) 906-1014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2848AT
OR
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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