Individual
MR. JAMES D COSTANTINO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4340 N INTERSTATE AVE, PORTLAND, OR 97217-3211
(888) 227-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54917
CA
363A00000X
Physician Assistant
PA210140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54917
CALIFORNIA PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
09/26/2017
Last updated
12/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us