Mark S Larue, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003525 Issued in WA

Practice address

713 W Main St
Suite 102
Battle Ground, WA 98604-4475

Phone

(360) 666-4969

Fax

(360) 666-4969

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nu-Life Sportsmedicine and Health Care Center PLLC

  • Chiropractor
  • Battle Ground, WA
  • NPI 1720106255
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982779799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9363 NW FOX HOLLOW CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296372",
            "telephone_number": "503-292-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044475",
            "telephone_number": "360-666-4969",
            "fax_number": "360-666-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003525",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Henrik Koski, DMD
• Elizabeth Waddington Lagerson, DO
• Janine Lamberg, NTP
• Holly Marie Lane
• Merisa Lapier, LMP
• Joanna Lasher
• Jennifer Dawn Laughlin, PHARMD
• Trevor Laughter, LMT
• Jill Elizabeth Lawton, FNP
• Jack Leapoldt, LMP

• Chiropractor in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.