IndividualActive
Jose De La Cruz, MD
NPI 1003174285 · Family Medicine Physician · Tigard, OR
Provider details
- NPI number
- 1003174285
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD189150 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13200 Sw Pacific Hwy
Tigard, OR 97223-4828
Phone: (503) 598-2000
Fax: (503) 639-0920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1517
Pendleton, OR 97801-0410
Additional practice locations (1)
- 105 Arney Rd Ste 120Woodburn, OR 97071-9472Phone: (503) 814-4400
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.