Individual
COLLETTE ELIZABETH CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0884
Mailing address
908 NE 44TH AVE APT 4, PORTLAND, OR 97213-2228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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