Individual
DR. EMILY JILL COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12607 SE MILL PLAIN BLVD, KAISER CASCADE PARK, VANCOUVER, WA 98684-6055
(360) 891-6205
Mailing address
12607 SE MILL PLAIN BLVD, KAISER CASCADE PARK, VANCOUVER, WA 98684-6055
(360) 891-6205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00039811
WA
208000000X
Pediatrics Physician
MD23053
OR
Other
Enumeration date
08/31/2006
Last updated
02/04/2022
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