MR. RICHARD EUGENE LAGUE (NPI# 1114097649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097649 |
| Entity Type | Individual |
| Full Name | MR. RICHARD EUGENE LAGUE |
| Credential | PT |
| Practice Address |
Hfc Dixon Recreation Center Oregon State University Corvallis OR 97331 |
| Mailing Address |
630 Sw 2nd St Corvallis OR 97333-4442 |
| Practice Telephone | 5417377556 |
| Mailing Telephone | 5417572726 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00002123 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0772 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
HFC DIXON RECREATION CENTER OREGON STATE UNIVERSITY |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1194065995 | Candice Bailey | Veterinarian | 300 Magruder Hall, Corvallis, OR 97331 | 2013-02-15 |
| 1902189798 | Nicole Leblanc | Veterinarian | 700 Sw 30th Street, College of Veterinary Medicine Oregon State University, Corvallis, OR 97331 | 2011-09-28 |
| 1467698894 | Gail Carpenter Baggett | Physical Therapist | 425 Sw 26th St, Oregon State University - Dixon Recreation Center, Corvallis, OR 97331 | 2009-01-07 |
| 1306062401 | Barbara Sue Lerwick | Registered Nurse | 108 Sw Memorial Place, Plageman Building, Student Health Services, Corvallis, OR 97331 | 2007-04-17 |
| 1871682997 | Helen Kathleen Tennican | Physician Assistant | Oregon State University, 201 Plageman Building, Corvallis, OR 97331 | 2006-10-12 |
| 1043228570 | Linda M Samuels | Pharmacist | 109 Plageman Bldg, Osu Pharmacy, Corvallis, OR 97331 | 2006-08-03 |
| 1942214747 | Osu Student Health Center Pharmacy | Pharmacy | Plageman Building Room 109, Oregon State University, Corvallis, OR 97331 | 2006-07-28 |
| 1902833767 | Jeffrey C. Mull | Emergency Medicine | Oregon State University Student Health Services, Plageman 201, Corvallis, OR 97331 | 2006-06-27 |
| 1760435135 | Elinor J Tatham | Family Medicine | 201 Plageman, Oregon State University, Student Health, Corvallis, OR 97331 | 2006-05-18 |
| Find all providers in zip 97331 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114347549 | Stepping Out Physical Therapy and Custom Feet Orthotics | Physical Therapist | 3498 Nw Deer Run St, Corvallis, OR 97330-3111 | 2014-04-24 |
| 1861635138 | Justin Meier | Physical Therapist | 1128 Ne 2nd St. Ste 201, Corvallis, OR 97330 | 2009-04-15 |
| 1972751725 | Bartlett Physical Therapy, Inc. | Physical Therapist | 2747 Nw 9th St, Corvallis, OR 97330 | 2008-09-05 |
| 1043870264 | Motus Physical Therapy Nw, LLC | Physical Therapist | 2323 Nw 9th St, Corvallis, OR 97330-1573 | 2019-06-19 |
| 1811016215 | Mayron M Yip-ng | Physical Therapist | 2865 Nw 29th St, Corvallis, OR 97330 | 2007-03-28 |
| 1073662169 | Jeffrey Ernest Humphrey | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
| 1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
| 1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RICHARD EUGENE LAGUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.