Individual
SVETLANA KOTOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 320, VANCOUVER, WA 98664-3205
(360) 514-6300
(360) 514-6301
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
246460
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD170113
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD61188216
WA
Other
Enumeration date
07/02/2008
Last updated
11/30/2021
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