Individual
AMBER KOZLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-5274
(503) 781-3087
Mailing address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-6302
(503) 808-7974
(503) 820-5464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6275
OR
Other
Enumeration date
08/16/2010
Last updated
09/11/2020
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