Dela Cruz, Maica Punzalan

Dela Cruz, Maica Punzalan is an individual health care provider with primary practice located at 2850 Se Powell Valley Rd , Gresham OR 97080-1494. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dela Cruz, Maica Punzalan can be contacted via phone (503) 666-5050.

Contact Information

Primary practice address
2850 Se Powell Valley Rd Gresham OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018490 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 018490 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA188907 Oregon

Profile Details

NPI number 1316339088
LBN Legal business name Dela Cruz, Maica Punzalan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2015
Last updated Feb 7th, 2020 - 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 1316339088 NPPES
New York Other 018490 NEW YORK STATE LICENSE NUMBER

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