Individual
KEVIN C LA COUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 344-5233
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 344-5233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M0141
TX
2085R0202X
Diagnostic Radiology Physician
MD00045665
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD26771
OR
Other
Enumeration date
07/19/2005
Last updated
02/04/2022
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