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Stefanie Cruz

Marriage & Family Therapist in Portland, OR. Individual provider (NPI-1).

NPI number1982158333
StatusActive
Last updated in NPPESJan 24, 2022

Details

NPI
1982158333
Entity type
Individual (NPI-1)
Name
Stefanie Cruz
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2016
Certification date
Jan 24, 2022
Last updated
Jan 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistT1819ORYes

Practice location

2705 E Burnside St Ste 206
Portland, OR 97214-1768

Phone 503-453-4011

Mailing address

2705 E Burnside St Ste 206
Portland, OR 97214-1768

Phone 503-453-4011

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