Individual
JANE MARGARET LAROUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2250 S WOODWORTH LOOP STE 202, PALMER, AK 99645-7457
(907) 761-5800
(907) 761-5801
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
110455
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1648401
—
AK
Enumeration date
12/01/2010
Last updated
10/01/2020
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