Provider Demographics
NPI:1588804199
Name:MARLEAU, RUTH MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:MARIE
Last Name:MARLEAU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18813 WILLAMETTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-1711
Mailing Address - Country:US
Mailing Address - Phone:503-267-8904
Mailing Address - Fax:503-645-4424
Practice Address - Street 1:18813 WILLAMETTE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-1711
Practice Address - Country:US
Practice Address - Phone:503-267-8904
Practice Address - Fax:503-645-4424
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1661175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath