Individual provider · Type 1 NPI

Rostislav V. Izhevskiy

Specialist · Vancouver, WA

NPI number 1174867030 Active

Practice location

12014 SE Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044

Call (503) 761-2110 Map

Mailing address

3220 NE 148th Ave
Vancouver, WA 98682-8376

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 60124536 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174867030

Rostislav V. Izhevskiy's National Provider Identifier is 1174867030, issued on Nov 15, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 15, 2012.