Cruz, Todd Jason

Cruz, Todd Jason is an individual health care provider with primary practice located at 2701 Nw Vaughn St Ste 155, Portland OR 97210-5311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cruz, Todd Jason can be contacted via phone (503) 227-3479.

Contact Information

Primary practice address
2701 Nw Vaughn St Ste 155 Portland OR 97210-5311
Phone: (503) 227-3479
Fax: (503) 223-4838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3020 Oregon

Profile Details

NPI number 1366424228
LBN Legal business name Cruz, Todd Jason
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366424228 NPPES
Oregon MEDICAID 295703

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