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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN R KOSIK CADC-R ,QMHA-R, D.O.
NPI 1629820071
Preventive Medicine - Addiction Medicine in Portland, OR

Active since April 01, 2024
3374 SE HOLGATE BLVD, PORTLAND, OR 97202(877) 303-1950(503) 715-4175 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Nov 19, 2025, Aug 5, 2025 and 4 more (7 updates tracked since 2024).

About Kevin R Kosik Cadc-r ,qmha-r, D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN R KOSIK CADC-R ,QMHA-R, D.O. (NPI 1629820071) is an individual addiction medicine provider in Portland, Oregon, licensed in Oregon (DO) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1629820071
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameKEVIN R KOSIKCredential: CADC-R ,QMHA-R, D.O.
Location Address3374 SE HOLGATE BLVDPortland, OR 97202-3459
Mailing Address3374 Se Holgate BlvdPortland, OR 97202-3459 · (503) 470-9844 · Fax (503) 447-2076
Phone(877) 303-1950
Fax(503) 715-4175
Sole ProprietorYes
Enumeration DateApril 1, 2024
Last NPPES UpdateAugust 11, 20267 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1629820071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OR · DO
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-24-3714 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHA-R-5143 (OR)
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3374 SE HOLGATE BLVD, Portland, OR 97202
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Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Timothy ***** April 14, 2024

5/5
He is the most unorthodox counselor I have ever met with and I can't help but think he is going to save lives because he reaches on a level that is uncommon.
Provider 5/5
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARYL EDWARD THRASHER QMHA-R, CADC-R
Counselor (Mental Health)
3374 SE HOLGATE BLVD
PORTLAND, OR 97202
Multnomah County (818) 642-8508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kosik's NPI number?

The NPI number for Kevin Kosik is 1629820071. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Kevin Kosik located?

Kevin Kosik practices at 3374 SE Holgate Blvd, Portland, OR 97202. The listed phone number is (877) 303-1950.

What is Kevin Kosik's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Kevin Kosik was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.