Individual
JOSHUA MATTHEW LACROUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
505 NW 9TH AVE, PORTLAND, OR 97209-3578
(503) 477-4399
(503) 477-9197
Mailing address
505 NW 9TH AVE, PORTLAND, OR 97209-3578
(503) 477-4399
(503) 477-9197
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150508
OR
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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