Search › Oregon › 207R00000X
John Custis, MD
NPI 1770561813 · on the registry since 2006
Practice
- Address
- 24900 Se Stark
Ste 109
Gresham, OR 97030 - Phone
- (503) 667-1015
- Fax
- (503) 667-0406
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-21
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