Blaine E Kozak in Portland - Diagnostic Radiology
Blaine E Kozak - NPI 1538109343
Blaine E Kozak is a Diagnostic Radiology in Portland, Oregon. Blaine E Kozak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Blaine E Kozak is 1538109343. The last update date is 2010-12-29.
Blaine E Kozak's current location address is 2801 N Gantenbein Ave, Portland, Oregon. You can contact this provider via phone number 5034134032 and fax number 5032270218. The mailing address for Blaine E Kozak is 2801 N Gantenbein Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine E Kozak |
|---|---|
| Address | 2801 N Gantenbein Ave, Portland, Oregon |
| Phone Number | 5034134032 |
| Fax Number | 5032270218 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538109343 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2010-12-29 |
Provider Mailing Address Detail
| Address | 2801 N Gantenbein Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972271623 |
| Phone Number | 5034134032 |
| Fax Number | 5032270218 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD12263 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44271 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Blaine E Kozak by the Centers for Medicare & Medicaid Services?
The Blaine E Kozak has been assigned the NPI (National Provider Identifier) 1538109343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Blaine E Kozak?
The Blaine E Kozak is physically situated at 2801 N Gantenbein Ave, in the city of Portland, state of OR, with the postal code 972271623.
What is Blaine E Kozak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Blaine E Kozak is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
When did the Blaine E Kozak receive its 1538109343?
The Blaine E Kozak was issued its 1538109343 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Blaine E Kozak most recently updated or revised?
The details related to Blaine E Kozak, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-29.
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