Individual ProviderJoshua Matthew LacrouteAcupuncturistOther Service ProvidersPractice Address505 NW 9th Ave, Portland, OR 97209-3578(503) 477-4399PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Matthew Lacroute does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 5:04 PM.Profile DetailsProvider ID1922306034Provider TypeIndividualFull NameLacroute, Joshua MatthewCredentialLACGenderMaleSole ProprietorYesEnumeration Date3/14/2011Last Updated3/14/2011Contact InformationPractice LocationPractice Address505 NW 9th Ave, Portland, OR 97209-3578Phone(503) 477-4399Fax(503) 477-9197Mailing LocationMailing Address505 NW 9th Ave, Portland, OR 97209-3578Phone(503) 477-4399Fax(503) 477-9197Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC150508Oregon