John M Custis MD

  • NPI 1770561813
According to our database, the NPI number for John M Custis MD is 1770561813 and activated since 18 years ago. John M Custis MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 24900 Se Stark, Gresham, OR 97030. You can also contact John M Custis MD via telephone number is (503) 667-1015. Provider NPI information was last updated on 12/21/2007.

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Overview of John M Custis MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/09/2006
  • Last updated: 12/21/2007

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: MD09069
  • License State: OR

Provider Mailing Address

  • Address: Po Box 23200
    Portland, OR 97281
  • Phone: 503-667-1015
  • Fax: 503-667-0406

Provider Practice Location

  • Address: 24900 Se Stark
    Ste 109
    Gresham, OR 97030
  • Phone: 503-667-1015
  • Fax: 503-667-0406

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: MD09069
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 276659
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for John M Custis MD?
  • A: The npi number for John M Custis MD is 1770561813.
  • Q: What are John M Custis MD's specialties?
  • A: John M Custis MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for John M Custis MD?
  • A: The medical license number for John M Custis MD is MD09069 and issued in OR in USA.
  • Q: Where is John M Custis MD practice location?
  • A: John M Custis MD is practicing at 24900 Se Stark, Gresham, OR 97030.
  • Q: How to contact John M Custis MD?
  • A: You can contact John M Custis MD via 503-667-1015.