Individual provider · Type 1 NPI
Kevin R. Kosik, CADC-R, QMHA-R, DO
Addiction Medicine (Preventive Medicine) Physician · Portland, OR
NPI number
1629820071
Active
Practice location
3374 SE Holgate Blvd
Portland, OR 97202-3459
Fax (503) 715-4175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | DO (OR) |
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-24-3714 (OR) |
| Mental Health Counselor | 101YM0800X | QMHA-R-5143 (OR) |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Another provider at this address
Other addiction medicine (preventive medicine) physician providers in Portland
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- Craig D. Turner, MDAddiction Medicine (Preventive Medicine) Physician Portland, OR NPI 1154460780
- Andrea Harrell Chiavarini, MDAddiction Medicine (Preventive Medicine) Physician Portland, OR NPI 1255536405
- Patricia Liu, MDAddiction Medicine (Preventive Medicine) Physician Portland, OR NPI 1558723460
- Honora L. Englander, MDAddiction Medicine (Preventive Medicine) Physician Portland, OR NPI 1649226994
- John Henry Hardy Jr., MDAddiction Medicine (Preventive Medicine) Physician Portland, OR NPI 1942522388
About NPI 1629820071
Kevin R. Kosik, CADC-R, QMHA-R, DO's National Provider Identifier is 1629820071, issued on Apr 1, 2024. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Portland, OR. The record was last updated on Aug 11, 2026.