Individual
LUIS DAVID CAPESTANY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.R.C., C.G.G.
Contact information
Practice address
9120 SW 91ST AVE, #8, PORTLAND, OR 97223-6845
(971) 330-9273
Mailing address
9120 SW 91ST AVE, #8, PORTLAND, OR 97223-6845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
225C00000X
Rehabilitation Counselor
1551
PR
Other
Enumeration date
09/21/2015
Last updated
12/05/2016
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