Individual
ELIZABETH CRUZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 22ND AVE, FOREST GROVE, OR 97116-1611
(503) 330-4213
Mailing address
1615 22ND AVE, FOREST GROVE, OR 97116-1611
(503) 330-4213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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