Internal Medicine
JOHN CUSTIS MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770561813 · enumerated 2006-01-09 · record updated 2007-12-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 24900 SE STARK, STE 109, GRESHAM, OR, 97030 (503) 667-1015 Fax (503) 667-0406 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 23200, PORTLAND, OR, 97281-3200 (503) 667-1015 Fax (503) 667-0406 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License MD09069 OR
In this directory
Locations and evidence
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Practice location
GRESHAM, OR, 97030
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.