Individual
JOSE S DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13200 SW PACIFIC HWY, TIGARD, OR 97223-4828
(503) 598-2000
(503) 639-0920
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD189150
OR
Other
Enumeration date
04/25/2012
Last updated
12/10/2025
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