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DERRICK E CUSTINO, MD

FAMILY PRACTICE · CLACKAMAS, OR

Provider

NPI
1013097146
Credential
MD
Primary specialty
FAMILY PRACTICE
Gender
Male
Medical school
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation year
1996

Practice

Address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 970158970
Phone
8008132000
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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