Shane Cruz, MSW

NPI #1164978052 in Clackamas, Oregon

Provider Information

NPI Number: 1164978052
Entity Type: Individual
Name: Shane Cruz, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MSW
Enumeration Date: Aug 30, 2016
Last Updated: Dec 30, 2021

Practice Location

Address: 10180 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-8970
Phone: (503) 571-0884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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