Individual
ELISA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1508 DIVISION ST STE 105, OREGON CITY, OR 97045-1584
(503) 656-0836
(503) 656-9464
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
170892
OR
Other
Enumeration date
01/22/2015
Last updated
06/12/2020
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