Provider Demographics
NPI:1922260330
Name:LINDA KARDOS INC
Entity Type:Organization
Organization Name:LINDA KARDOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARDOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,MA
Authorized Official - Phone:503-973-5833
Mailing Address - Street 1:PO BOX 1242
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-1242
Mailing Address - Country:US
Mailing Address - Phone:503-973-5833
Mailing Address - Fax:
Practice Address - Street 1:2188 SW PARK PL STE 305
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-1100
Practice Address - Country:US
Practice Address - Phone:503-973-5833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1076261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center