Provider Demographics
NPI:1225107212
Name:KOSKI, JAMES ROBERT (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:KOSKI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PLAGEMAN
Mailing Address - Street 2:OREGON STATE UNIVERSITY, STUDENT HEALTH
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97331-5801
Mailing Address - Country:US
Mailing Address - Phone:541-737-3106
Mailing Address - Fax:541-737-4530
Practice Address - Street 1:201 PLAGEMAN
Practice Address - Street 2:OREGON STATE UNIVERSITY, STUDENT HEALTH
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331-5801
Practice Address - Country:US
Practice Address - Phone:541-737-3106
Practice Address - Fax:541-737-4530
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD15498207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine