Farah Custodio

NPI 1740924620 · on the registry since 2022 · sole proprietor

Practice

Address: 3838 Pacific Ave
Forest Grove, OR 97116
Phone: (503) 357-1706
Organisation at this address: Sean L Steward, Md, Pc
Sean L Steward, Md, Pc
Custom Care Physical Therapy, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Also registered as: 261QP2000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon