Gresham Internal Medicine Clinic
Internal Medicine • Gresham, OR
About Gresham Internal Medicine Clinic NPI 1134204340 Summary
Gresham Internal Medicine Clinic is a verified healthcare organization specializing in Internal Medicine operating in Gresham, OR. Located at 24900 SE STARK ST STE 109, this facility provides patient care and medical services under National Provider Identifier (NPI) 1134204340.
Administrative operations and authorized compliance are overseen by John Custis (Owner/Partner).
The facility is associated with 6 linked healthcare practitioners providing clinical services.
Facility Location & Contact Primary Location
24900 Se Stark St Ste 109
Gresham, OR 970303381
Authorized Official Information
DR. John Custis , MD
Owner/partner
5036671015
Facility Classifications & Specialties
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Affiliated Practitioners & Clinicians
Healthcare professionals and specialists practicing at this facility or affiliated group locations
Internal Medicine - Clinical Cardiac Electrophysiology
Gresham, OR
Internal Medicine - Interventional Cardiology
Gresham, OR
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
NPI status registered as active in NPPES database
Registered at 24900 SE STARK ST STE 109, GRESHAM, OR 970303381 (Tel: 5036671015)
Registered at PO BOX 23200, PORTLAND, OR 972813200 (Tel: 5036671015)
Operating as GRESHAM INTERNAL MEDICINE CLINIC
Internal Medicine (License #01794 in OR)
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
Po Box 23200
Portland, OR 972813200
Phone: 5036671015
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.