NPI 1285717579 · live from the CMS NPI Registry
Darcy Catherine Cruikshank, DMD MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Forest Grove, OR. National Provider Identifier 1285717579, active.
NPI record
| NPI | 1285717579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1911 Mountain View Lane, #100, Forest Grove, OR 97116 |
| Practice phone | 503-359-5408 |
| Mailing address | 4475 Nw Neskowin Ave, Portland, OR 97229 |
| Enumerated | October 23, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D8508 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.