Individual
ALLISON ELIZABETH KOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 SE MAIN ST STE 365, PORTLAND, OR 97216-2474
(503) 261-4430
(503) 261-4436
Mailing address
10000 SE MAIN ST STE 365, PORTLAND, OR 97216-2474
(503) 261-4430
(503) 261-4436
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00857
OR
363AS0400X
Surgical Physician Assistant
PA10004422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235820
—
OR
Enumeration date
08/22/2005
Last updated
10/06/2025
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