Individual
DR. LOUIS DANIEL KOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
(503) 571-3069
Mailing address
555 SE 66TH PL, PORTLAND, OR 97215-2002
(503) 652-2880
(503) 571-3069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14225
OR
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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