Tina Caputo | |
22400 Se Stark St Gresham OR 97030-2656 | |
(858) 204-9661 | |
Not Available |
Full Name | Tina Caputo |
---|---|
Speciality | Clinic/center |
Location | 22400 Se Stark St, Gresham, Oregon |
Authorized Official Name and Position | Christina Marie Gadzala Captuo (OWNER) |
Authorized Official Contact | 8582049661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tina Caputo 22400 Se Stark St Gresham OR 97030-2656 Ph: () - | Tina Caputo 22400 Se Stark St Gresham OR 97030-2656 Ph: (858) 204-9661 |
NPI Number | 1811648579 |
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Provider Enumeration Date | 01/14/2022 |
Last Update Date | 01/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811648579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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