DR. Derrick Eugene Custino, M.D.

NPI #1013097146 in Hillsboro, Oregon

Provider Information

NPI Number: 1013097146
Entity Type: Individual
Name: DR. Derrick Eugene Custino, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 16, 2006
Last Updated: Feb 4, 2022

Practice Location

Address: 19400 NW EVERGREEN PKWY
City: Hillsboro
State: Oregon
ZIP Code: 97124-7031
Phone: (503) 645-2762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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