Individual
MARK S LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
713 W MAIN ST, SUITE 102, BATTLE GROUND, WA 98604-4475
(360) 666-4969
(360) 666-4969
Mailing address
9363 NW FOX HOLLOW CT, PORTLAND, OR 97229-6372
(503) 292-5060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
273381
OR
111N00000X
Chiropractor
Primary
CH00003525
WA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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