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1164978052
SHANE CRUZ
CLACKAMAS, OR
NPI
1164978052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-08-30
Last Update Date
2021-12-30
Business Address
SHANE CRUZ MSW
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
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Mailing Address
SHANE CRUZ MSW
5904 NE 13TH AVE
PORTLAND, OR 97211-4231
Phone number:
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