Individual
LARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 N RUSSELL ST STE B, PORTLAND, OR 97227-1732
(971) 208-5297
Mailing address
15140 NE SPRINGBROOK RD, NEWBERG, OR 97132-6954
(503) 545-2655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6511
OR
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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