Tina Caputo Lmt
Tina Caputo Lmt is a Clinic/Center in Gresham, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
22400 SE Stark StGresham, OR 97030-2656
Phone: (858) 204-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1902440738 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tina Caputo — Lac · (858) 204-9661 |
| NPI enumerated | November 5, 2019 |
| Last updated in NPPES | January 21, 2022 |
| Certification date | January 21, 2022 |
| Mailing address | 22400 Se Stark St, Gresham, OR 97030-2656 |
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