Charles Kosydar
Medical Specialty
Professional ID
- NPI: 1124221783
- PECOS ID: 5991952111
- Enrollment ID: I20170627000963
- Credential(MD, DO, DPM):
- Medical School: Oregon Health Sciences University School Of Medicine
- Medical School Graduation Year: 2007
Hospital Service
- Hospital CCN1: 380004
- Business Name (LBN)1: Providence St Vincent Medical Center
- Hospital CCN2: 500039
- Business Name (LBN)2: Harrison Memorial Hospital
- Hospital CCN3: 380037
- Business Name (LBN)3: Providence Newberg Medical Center
Medical Practices
- Organization Name: Trg, Llc
- Group Practice ID assigned by PECOS: 8820283617
- Number of Group Practice member: 31
Location
- Address1: 1001 Providence Dr
- Address2:
- City: Newberg
- State: Oregon
- Zip Code: 97132
- Phone Number: (503)216-1538
Location
- Address1: 9205 Sw Barnes Rd
- Address2:
- City: Portland
- State: Oregon
- Zip Code: 97225
- Phone Number: (503)216-4830
Medical Practices
- Organization Name: Olympic Medical Imaging Consultants, Pllc
- Group Practice ID assigned by PECOS: 8820984552
- Number of Group Practice member: 15
Location
- Address1: 1780 Nw Myhre Rd
- Address2: Suite 1220
- City: Silverdale
- State: Washington
- Zip Code: 98383
- Phone Number: (360)337-6500
Medical Practices
- Organization Name: Center For Medical Imaging Llc
- Group Practice ID assigned by PECOS: 9335191543
- Number of Group Practice member: 30
Location
- Address1: 18530 Nw Cornell Rd
- Address2: Suite 100
- City: Hillsboro
- State: Oregon
- Zip Code: 97124
- Phone Number: (503)216-8400
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):