Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rostislav V Izhevskiy

Individual provider Specialist · NPI 1174867030

Rostislav V Izhevskiy is a Specialist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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Practice location Address checks out

12014 SE Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044
Phone: (503) 761-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA 60124536 (WA)

Record details

NPI number1174867030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

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