Individual
MARY SARAH CRUZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7358 SW DURHAM RD, PORTLAND, OR 97224-7307
(503) 260-5157
Mailing address
7358 SW DURHAM RD, PORTLAND, OR 97224-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201806107RN
OR
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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