Individual
MERLITA C CRUZAT-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST FL 11, PORTLAND, OR 97232-2023
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036088870
IL
207R00000X
Internal Medicine Physician
C141148
CA
207R00000X
Internal Medicine Physician
Primary
MD61392277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088870
—
IL
Enumeration date
07/02/2006
Last updated
04/28/2025
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