Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN M CUSTIS, MD
ActiveJOHN M CUSTIS, MD is a Internal Medicine healthcare provider located in GRESHAM, Oregon. NPI 1770561813 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GRESHAM, OR
Registration Details
- NPI Number
- 1770561813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2006 (20.564824326283 yrs)
- Last Updated
- Dec 21, 2007
- License
-
MD09069 (OR)
Practice Information
- Address
-
24900 SE STARKSTE 109GRESHAM, OR, 97030Browse OR providers · Browse ZIP 97030
- Phone
- 5036671015
- Fax
- 5036670406
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. KATHRYN L HUYSSOON | MD | 1023000387 |
| DR. FAYYAZ MAHMOOD | MD | 1790777050 |
| STEVEN DOUGLAS MANESS | M.D. | 1700872785 |
| DARRELL R LOCKWOOD | MD | 1255319497 |
| AMY KATHERINE CHAUMETON | M.D. | 1033183918 |
| DR. ANTHONY SANTO LADOGANA | M.D. | 1275508418 |
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.