MAICA PUNZALAN DELA CRUZ PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1316339088- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 2850 SE POWELL VALLEY RD, GRESHAM, OR, 970801494
- Phone
- (503) 666-5050
- Fax
- (503) 666-1162
Specialties & Taxonomies
Physician Assistant
License: NY #018490
Physician Assistant, Medical
License: NY #018490
Physician Assistant
Primary License: OR #PA188907