NPI 1063269488

Allie de La Cruz

Practitioner Optometrist Beaverton, OR

Practice location

Address: 4655 SW Griffith Dr STE 165, Beaverton, OR 97005-8731
Phone: (503) 646-8592
Fax: (503) 526-3989

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ATI4733 (OR)

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Registry record

NPI: 1063269488
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2024
Record last updated: 7 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.