NPI 1336323211

David Cruz

Practitioner Driver Hillsboro, OR

Practice location

Address: 529 Se12th Ave., Hillsboro, OR 97123
Phone: (503) 615-4258
Mailing address: 529 SE 12th Ave, Hillsboro, OR 97123-4618

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5324728 (OR)

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Registry record

NPI: 1336323211
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2007
Record last updated: 27 Dec 2007

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.