Kardosh, Adel

Kardosh, Adel is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Kardosh, Adel can be contacted via phone (503) 494-8534.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239
Phone: (503) 494-8534
Fax: (503) 494-3257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 113847 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD188428 Oregon

Profile Details

NPI number 1235400177
LBN Legal business name Kardosh, Adel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2012
Last updated Jun 5th, 2018 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235400177 NPPES
California Other 113847 SID # 113847

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