- Practice location
- 13200 SW Pacific Hwy, Tigard, OR 97223-4828
- Phone
- 503-598-2000
- Fax
- 503-639-0920
- Last updated
- December 10, 2025
Jose S De La Cruz is a Family Medicine based in Tigard, OR. Jose S De La Cruz practices in Tigard, OR and has the professional credentials of MD. The NPI Number for Jose S De La Cruz is 1003174285 and holds a License No. MD189150 (OR). The current practice location address for Jose S De La Cruz is 13200 SW Pacific Hwy, Tigard, OR 97223-4828 and can be reached out via phone at 503-598-2000 and via fax at 503-639-0920.
Provider Profile Details
- NPI Number
- 1003174285
- Provider Name
- Jose S De La Cruz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13200 SW Pacific Hwy, Tigard, OR 97223-4828
- Phone Number
- 503-598-2000
- Fax Number
- 503-639-0920
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2012
- Last Update Date
- December 10, 2025
- Certification Date
- December 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13200 SW Pacific Hwy
Tigard, OR 97223-4828 - City
- Tigard
- State
- Oregon
- Zip
- 97223-4828
- Phone Number
- 503-598-2000
- Fax Number
- 503-639-0920
Provider Business Mailing Address Details
- Address
- Po Box 1517
Pendleton, OR 97801-0410 - City
- Pendleton
- State
- OR
- Zip
- 97801-0410
- Phone Number
- 877-708-1119
- Fax Number
- 541-278-8349
License Information
- License Number
- MD189150
- License State
- OR
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jose S De La Cruz, MD?
The NPI number of Jose S De La Cruz, MD is 1003174285. It was assigned on April 25, 2012 and is currently active in the NPPES registry.
What is the specialty of Jose S De La Cruz, MD?
Jose S De La Cruz, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD189150.
Where does Jose S De La Cruz, MD practice?
The practice location is 13200 SW Pacific Hwy, Tigard, OR 97223-4828. The office can be reached at 503-598-2000 (phone) or 503-639-0920 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003174285 directly on the NPPES registry website.