NPI 1164499463

Sandra Leigh Kosik, PA

Practitioner Physician Assistant Canby, OR

Practice location

Address: 200 S Hazel Dell Way, Canby, OR 97013-7829
Phone: (503) 263-9500
Fax: (503) 263-1383
Mailing address: 18465 S Winnifred Ave, Molalla, OR 97038-8847

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00850 (OR)

Other Physician Assistant providers in Oregon →

Registry record

NPI: 1164499463
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2006
Record last updated: 26 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.