Whalio Doctors

NPI 1023021516

Alexander Michael Kositch, MD

Practitioner Internal Medicine Physician Clackamas, OR

Practice location

Address
10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
Phone
(503) 652-2880
Mailing address
2460 SW 76th Ave, Portland, OR 97225-3373

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD13915 (OR)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD00034565 (WA)

Registry record

NPI
1023021516
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.