Individual
DR. ALEXANDER MICHAEL KOSITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
2460 SW 76TH AVE, PORTLAND, OR 97225-3373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00034565
WA
207R00000X
Internal Medicine Physician
Primary
MD13915
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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