Kosik, Kevin R

Kosik, Kevin R is an sole proprietor health care provider with primary practice located at 3374 Se Holgate Blvd , Portland OR 97202-3459. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Community Health Worker is his primary health care specialty. Kosik, Kevin R can be contacted via phone (877) 303-1950.

Contact Information

Primary practice address
3374 Se Holgate Blvd Portland OR 97202-3459
Phone: (877) 303-1950
Fax: (503) 715-4175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-24-3714 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHA-R-5143 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629820071
LBN Legal business name Kosik, Kevin R
Credentials CADC-R ,QMHA-R, D.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2024
Last updated Aug 11th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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