Derrick Eugene Custino in Hillsboro - Family Medicine
Derrick Eugene Custino - NPI 1013097146
Derrick Eugene Custino is a Family Medicine in Hillsboro, Oregon. Derrick Eugene Custino practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derrick Eugene Custino is 1013097146. The last update date is 2022-02-04.
Derrick Eugene Custino's current location address is 19400 Nw Evergreen Pkwy, Hillsboro, Oregon. You can contact this provider via phone number 5036452762 and fax number 5036905023. The mailing address for Derrick Eugene Custino is 19400 Nw Evergreen Pkwy, Hillsboro, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Eugene Custino |
|---|---|
| Address | 19400 Nw Evergreen Pkwy, Hillsboro, Oregon |
| Phone Number | 5036452762 |
| Fax Number | 5036905023 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013097146 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
| Address | 19400 Nw Evergreen Pkwy |
|---|---|
| City | Hillsboro |
| State | Oregon (OR) |
| Post Code | 971247031 |
| Phone Number | 5036452762 |
| Fax Number | 5036905023 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD22041 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Derrick Eugene Custino by the Centers for Medicare & Medicaid Services?
The Derrick Eugene Custino has been issued the NPI (National Provider Identifier) 1013097146, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Derrick Eugene Custino is located?
The Derrick Eugene Custino is situated at the following address: 19400 Nw Evergreen Pkwy, Hillsboro, OR, 971247031.
What is Derrick Eugene Custino's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derrick Eugene Custino's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When was the Derrick Eugene Custino's 1013097146 issued?
The Derrick Eugene Custino's 1013097146 was issued on 2006-10-16.
As of what date was the information regarding Derrick Eugene Custino, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derrick Eugene Custino, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-04.
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