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Michael A Kostin
Massage Therapist in Gresham, Oregon
NPI 1548894108

Michael A Kostin is a Massage Therapist based in Gresham, OR. Michael A Kostin practices in Gresham, OR. The NPI Number for Michael A Kostin is 1548894108 and holds a License No. 023412 (Oregon).

The current practice location address for Michael A Kostin is 3333 Sw Miller Pl, Gresham, OR and can be reached out via phone at 503-839-5335.

Location: 3333 Sw Miller Pl, Gresham, OR, 97080-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548894108
Provider Name
Michael A Kostin
Credential
Provider Entity Type
Individual
Gender
Male
Address
3333 Sw Miller Pl, Gresham, OR, 97080-5500
Phone Number
503-839-5335
Fax Number
Provider Enumeration Date
02/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 Sw Miller Pl
City
Gresham
State
Oregon
Zip
97080-5500
Phone Number
503-839-5335
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Sw Miller Pl
City
Gresham
State
Oregon
Zip
97080-5500
Phone Number
503-839-5335
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
023412 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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