Individual provider · Type 1 NPI

Andrew Wellman Costa, DO

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1699528588 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Call (503) 494-8211 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699528588

Andrew Wellman Costa, DO's National Provider Identifier is 1699528588, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 9, 2024.