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Tina Caputo
Clinic/Center in Gresham, Oregon
NPI 1811648579

Tina Caputo is a Clinic/Center based in Gresham, OR. Tina Caputo practices in Gresham, OR. The NPI Number for Tina Caputo is 1811648579 and holds a License No. (Oregon).

The current practice location address for Tina Caputo is 22400 Se Stark St, Gresham, OR and can be reached out via phone at 858-204-9661. You can also correspond with Tina Caputo through the mailing address at 22400 SE STARK ST, GRESHAM, OR - 97030-2656 (mailing address contact number: ).

Location: 22400 Se Stark St, Gresham, OR, 97030-2656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811648579
Provider Name
Tina Caputo
Credential
Provider Entity Type
Organization
Address
22400 Se Stark St, Gresham, OR, 97030-2656
Phone Number
858-204-9661
Fax Number
Provider Enumeration Date
01/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
22400 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2656
Phone Number
858-204-9661
Fax Number
person
Provider Business Mailing Address Details
Address
22400 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2656
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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