Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548894108 Individual Practitioner Male Practitioner

Michael A Kostin

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Michael Kostin is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 3333 SW MILLER PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Sw Miller Pl

Gresham, OR 970805500

Telephone 5038395335

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
132 Specialists

Practicing in Gresham, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-23
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 023412

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2020

Registered at 3333 SW MILLER PL, GRESHAM, OR 970805500 (Tel: 5038395335)

📍
Updated Business Mailing Address February 23, 2020

Registered at 3333 SW MILLER PL, GRESHAM, OR 970805500 (Tel: 5038395335)

👤
Provider Name / Credentials Updated February 23, 2020

Recorded as MICHAEL KOSTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2020

Massage Therapist (License #023412 in OR)

🟢
Initial NPI Registration & Enumeration February 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548894108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2020
Last Update: February 23, 2020
Sole Proprietor: Yes

Mailing Address

3333 Sw Miller Pl

Gresham, OR 970805500

Phone: 5038395335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.