person
Dr. Gianncarlo Cruz, DDS
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1831828094

Gianncarlo Cruz is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Gianncarlo Cruz practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Gianncarlo Cruz is 1831828094 and holds a License No. (Oregon).

The current practice location address for Gianncarlo Cruz is 2730 S Moody Ave, Portland, OR and can be reached out via phone at 503-494-8867.

Location: 2730 S Moody Ave, Portland, OR, 97239-4743
person
Provider Profile Details
NPI Number
1831828094
Provider Name
Gianncarlo Cruz
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2730 S Moody Ave, Portland, OR, 97239-4743
Phone Number
503-494-8867
Fax Number
Provider Enumeration Date
06/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-8867
Fax Number
person
Provider Business Mailing Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-8867
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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