NPI 1962642470 · live from the CMS NPI Registry
D'Leah Cruz, RN
Registered Nurse in Clackamas, OR. National Provider Identifier 1962642470, active.
NPI record
| NPI | 1962642470 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 10180 Se Sunnyside Rd, Suite B, 1st Floor, Clackamas, OR 97015 |
| Practice phone | 503-571-0905 |
| Mailing address | 8844 Sw Romal Ct, Beaverton, OR 97008 |
| Enumerated | February 23, 2009 |
| Last updated | September 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | 096006061RN (OR) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 096006061RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.