Individual
MR. RICHARD EUGENE LAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
HFC DIXON RECREATION CENTER, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331
(541) 737-7556
Mailing address
630 SW 2ND ST, CORVALLIS, OR 97333-4442
(541) 757-2726
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0772
OR
2251X0800X
Orthopedic Physical Therapist
PT00002123
WA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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