BLAINE E KOZAK

PORTLAND, OR
NPI1538109343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: OR  MD12263)
Enumeration Date2006-06-08
Last Update Date2010-12-29
Business Address
-- BLAINE E KOZAK MD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-4032
Mailing Address
-- BLAINE E KOZAK MD
2701 NW VAUGHN ST STE 425
PORTLAND, OR 97210-5311
Phone number: 503-227-2400
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