Individual
ADEL KARDOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-8534
(503) 494-3257
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8534
(503) 494-3257
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD188428
OR
390200000X
Student in an Organized Health Care Education/Training Program
113847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113847
SID # 113847
CA
Enumeration date
01/24/2012
Last updated
06/05/2018
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