-- JOHN M CUSTIS -- MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1770561813- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 24900 SE STARK STE 109, GRESHAM, OR, 97030
- Phone
- (503) 667-1015
- Fax
- (503) 667-0406
Specialties & Taxonomies
Internal Medicine
Primary License: OR #MD09069