Individual provider · Type 1 NPI

Shane Cruz, MSW

Mental Health Counselor · Clackamas, OR

NPI number 1164978052 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 571-0884 Map

Mailing address

5904 NE 13th Ave
Portland, OR 97211-4231

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164978052

Shane Cruz, MSW's National Provider Identifier is 1164978052, issued on Aug 30, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clackamas, OR. The record was last updated on Dec 30, 2021.