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Michael Kostin
NPI 1548894108 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3333 Sw Miller Pl
Gresham, OR 97080 - Phone
- (503) 839-5335
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon