Individual
MRS. D'LEAH CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10180 SE SUNNYSIDE RD, SUITE B, 1ST FLOOR, CLACKAMAS, OR 97015-8970
(503) 571-0905
(503) 517-0867
Mailing address
8844 SW ROMAL CT, BEAVERTON, OR 97008-7290
(503) 780-5508
(503) 641-8003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096006061RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
096006061RN
OR
Other
Enumeration date
02/23/2009
Last updated
09/07/2023
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