Pedro Cruz Vasquez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

976 N Pacific Hwy
Woodburn, OR 97071-3731

Phone

(503) 507-6668

NPI assigned

Sep 14, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Behavioral Health

  • Health Maintenance Organization
  • Woodburn, OR
  • NPI 1174072086
  NPD (past)
• Marion County

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1205384609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973620703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 N PACIFIC HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713731",
            "telephone_number": "503-507-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ VASQUEZ",
        "first_name": "PEDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent Orthodontic Services LLC
• Jill M Crittenden
• Irene Croswell, RPH
• Crown Two Development, LLC
• Stephen Crum
• Natalie Celeste Curiel
• Juliette Cutts, PSYD
• Annalise H Darling, PA-C
• Lorraine Elizabeth De la Riva, PHARM D
• Jocelyn Delgado

• Mental Health Counselor in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.