IndividualActive
Rostislav Izhevskiy
NPI 1174867030 · Specialist · Vancouver, WA
Rostislav Izhevskiy is a Specialist provider in Vancouver, WA (NPI 1174867030).
Provider details
- NPI number
- 1174867030
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA 60124536 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12014 Se Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044
Phone: (503) 761-2110
Street-level locationGet directions
Mailing address
3220 Ne 148th Ave
Vancouver, WA 98682-8376
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Frequently asked questions
- What is Rostislav Izhevskiy's NPI number?
- Rostislav Izhevskiy's National Provider Identifier (NPI) is 1174867030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rostislav Izhevskiy's specialty?
- Rostislav Izhevskiy is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Rostislav Izhevskiy located?
- Rostislav Izhevskiy's practice location on file with NPPES is 12014 Se Mill Plain Blvd Ste 120, Vancouver, WA 98684-4044.
- What is Rostislav Izhevskiy's phone number?
- The practice phone number listed in the NPPES registry for Rostislav Izhevskiy is (503) 761-2110.
- Is Rostislav Izhevskiy's NPI active?
- Yes — Rostislav Izhevskiy's NPI (1174867030) is active in the NPPES registry as of the last update on 2012-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.