Michael A Kostin
Michael A Kostin is a Massage Therapist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
3333 SW Miller PlGresham, OR 97080-5500
Phone: (503) 839-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 023412 (OR) |
|---|
Record details
| NPI number | 1548894108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2020 |
| Last updated in NPPES | February 23, 2020 |
| Certification date | February 23, 2020 |
| Mailing address | 3333 Sw Miller Pl, Gresham, OR 97080-5500 |
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