Individual
YULIA KOTLYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5200
(541) 767-5399
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD216332
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2018
Last updated
09/20/2023
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