Individual
VLADISLAV KOSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 NE 181ST AVE, PORTLAND, OR 97230-6615
(503) 512-7076
(503) 512-7092
Mailing address
205 NE 181ST AVE, PORTLAND, OR 97230-6615
(503) 512-7076
(503) 512-7092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5706
OR
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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