Individual
SCOTT CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(855) 691-9890
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO224309
OR
Other
Enumeration date
03/08/2019
Last updated
04/04/2025
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