Individual
MRS. DARCY CATHERINE CRUIKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MSD
Contact information
Practice address
1911 MOUNTAIN VIEW LANE, #100, FOREST GROVE, OR 97116-2382
(503) 359-5408
(503) 359-0584
Mailing address
4475 NW NESKOWIN AVE, PORTLAND, OR 97229-2803
(503) 705-7161
(503) 359-0584
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8508
OR
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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