TINA CAPUTO LMT

GRESHAM, OR
NPI1902440738
Entity TypeOrganization
Authorized ContactTINA CAPUTO
Lac
858-204-9661
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2019-11-05
Last Update Date2022-01-21
Business Address
TINA CAPUTO LMT
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 858-204-9661
Mailing Address
TINA CAPUTO LMT
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: