Mary Cruz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200741072RN Issued in OR

Practice address

14255 SW Brigadoon CT Ste 80
Beaverton, OR 97005-3368

Phone

(503) 641-1475

NPI assigned

Dec 1, 2014

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1528465887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 SW BRIGADOON CT STE 80",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053368",
            "telephone_number": "503-641-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200741072RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Zoey Crouse
• Amy Crow
• Sean Arthur Crowe, MD
• Simone Gabrielle Shope Crowe, LMT
• James Andy Cruz, D.C.
• William Ward Cuff, D.O.
• Georgiana Cullen-Kerney, ND
• Tiffaney Culligan, M. A. CCC-SLP
• Scott Alex Culpepper, MD
• Cultivate Wellness Counseling LLC

• Registered Nurse in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.