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Blaine E Kozak, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1538109343

Blaine E Kozak is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. Blaine E Kozak practices in Portland, OR and has the professional credentials of MD. The NPI Number for Blaine E Kozak is 1538109343 and holds a License No. MD12263 (Oregon).

The current practice location address for Blaine E Kozak is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-413-4032 and via fax at 503-227-0218. You can also correspond with Blaine E Kozak through the mailing address at 2701 NW VAUGHN ST, PORTLAND, OR - 97210-5311 (mailing address contact number: 503-227-2400).

Location: 2801 N Gantenbein Ave, Portland, OR, 97210-5311
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Provider Profile Details
NPI Number
1538109343
Provider Name
Blaine E Kozak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2801 N Gantenbein Ave, Portland, OR, 97210-5311
Phone Number
503-413-4032
Fax Number
503-227-0218
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
044271 05 OR
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-4032
Fax Number
503-227-0218
person
Provider Business Mailing Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-4032
Fax Number
503-227-0218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD12263 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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