Michael A Kostin

NPI #1548894108 in Gresham, Oregon

Provider Information

NPI Number
1548894108
Entity Type
Individual
Name
Michael A Kostin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Feb 23, 2020
Last Updated
Feb 23, 2020

Practice Location

Address
3333 SW MILLER PL
State
Oregon
ZIP Code
97080-5500
Phone
(503) 839-5335

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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