Individual
SAMANTHA DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 WESTBAY RD, LAKE OSWEGO, OR 97035-5525
(503) 789-5345
Mailing address
14854 SW SCHOLLS FERRY RD APT U102, BEAVERTON, OR 97007-8281
(408) 858-0841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202208933RN
OR
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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