IndividualActive
Charles Kosydar, MD
NPI 1124221783 · Diagnostic Radiology Physician · Portland, OR
Provider details
- NPI number
- 1124221783
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 60208164 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9400 Sw Barnes Rd
Suite 150
Portland, OR 97225-6608
Phone: (503) 797-6356
Approximate (ZIP-level) locationGet directions
Mailing address
9400 Sw Barnes Rd
Portland, OR 97225-6608
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.