Individual
ISAAC KOSYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
917 7TH AVE, LONGVIEW, WA 98632-2601
(503) 425-5910
Mailing address
4026 N MASSACHUSETTS AVE, PORTLAND, OR 97227-1036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60697159
WA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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