Individual
CRISTINA THERESE DE CASTRO-DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1899 BLANKENSHIP RD, WEST LINN, OR 97068-4118
(503) 513-3350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094409
MI
207R00000X
Internal Medicine Physician
Primary
MD157033
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646437
—
OR
Enumeration date
07/28/2009
Last updated
08/31/2012
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