DERRICK EUGENE CUSTINO

HILLSBORO, OR
NPI1013097146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD22041)
Enumeration Date2006-10-16
Last Update Date2022-02-04
Business Address
Dr. DERRICK EUGENE CUSTINO m.d.
19400 NW EVERGREEN PKWY
HILLSBORO, OR 97124-7031
Phone number: 503-645-2762
Mailing Address
Dr. DERRICK EUGENE CUSTINO m.d.
19400 NW EVERGREEN PKWY
HILLSBORO, OR 97124-7031
Phone number: 503-645-2762
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