Individual
JONATHAN KEVIN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4847 MEADOWS RD STE 153, LAKE OSWEGO, OR 97035-2626
(971) 330-8578
Mailing address
1905 MAIN ST APT 302, OREGON CITY, OR 97045-1074
(541) 232-6479
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6335
OR
Other
Enumeration date
10/10/2023
Last updated
11/28/2023
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