Individual
DR. ANTHONY IVAN KOSTINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 904-8190
Mailing address
8535 SW BOHMANN PKWY, PORTLAND, OR 97223-7225
(503) 245-5312
(503) 246-8951
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00011204
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD08795
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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