Provider Demographics
NPI:1033827407
Name:ARIAS-VILLANUEVA, MARICRUZ (DC)
Entity type:Individual
Prefix:DR
First Name:MARICRUZ
Middle Name:
Last Name:ARIAS-VILLANUEVA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KIRKSEY ST APT H204
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-4564
Mailing Address - Country:US
Mailing Address - Phone:971-317-6548
Mailing Address - Fax:
Practice Address - Street 1:4630 RIVER RD N STE A
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-4648
Practice Address - Country:US
Practice Address - Phone:503-304-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6260111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor