Most Relevant Information
Provider Data
| NPI Number: | 1003480096 |
| Provider Name: | PERLA CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 26006 |
Most Important Dates
| Enumeration Date: | 05/14/2021 |
| Last Updated: | 05/14/2021 |
Provider Practice Location
9455 SW 80TH AVE
PORTLAND
OR
972238966
Practice Location Phone/Fax
| Phone: | 5036627474 |
| Fax: |
Provider Mailing Location
9455 SW 80TH AVE
PORTLAND
OR
972238966
Provider Mailing Phone/Fax
| Phone: | 5036627474 |
| Fax: |