Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derrick Eugene Custino, MD

Individual provider Family Medicine Physician · NPI 1013097146

Dr. Derrick Eugene Custino, MD is a Family Practice in Hillsboro, Oregon. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1996, 30 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
30
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Phone: (503) 645-2762
Fax: (503) 690-5023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD22041 (OR)

Record details

NPI number1013097146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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