DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FARAH GRACE CUSTODIO

Active Sole Proprietor

FARAH GRACE CUSTODIO is a Ergonomics (Occupational Therapy) healthcare provider located in FOREST GROVE, Oregon. NPI 1740924620 is currently active in the NPPES registry. Verify at CMS.

Ergonomics (Occupational Therapy) · FOREST GROVE, OR

Registration Details

NPI Number
1740924620
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2022 (4.2620920341578 yrs)
Last Updated
Oct 22, 2024
Licenses
64412 (OR)
64412 (OR)
Sole Proprietor
Yes

Practice Information

Address
3838 PACIFIC AVE
FOREST GROVE, OR, 971162224
Browse OR providers · Browse ZIP 97116
Phone
5033571706
Primary Specialty
Ergonomics (Occupational Therapy)
2251X0800X

Other Ergonomics (Occupational Therapy) Providers in FOREST GROVE, OR

Name Credential NPI
MR. AARON MICHAEL FRYE M.S.P.T. 1124128764
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.