Cruise, Michael P

Cruise, Michael P is an individual health care provider with primary practice located at 705 Sw Coast Hwy , Newport OR 97365-5017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cruise, Michael P can be contacted via phone (541) 574-4860.

Contact Information

Primary practice address
705 Sw Coast Hwy Newport OR 97365-5017
Phone: (541) 574-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3118 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01271 Oregon

Profile Details

NPI number 1275608838
LBN Legal business name Cruise, Michael P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275608838 NPPES
Oregon MEDICAID 500606007

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