Legal Business Name
Lester Tengsico Llc
Also Known As
Division Foot Clinic
NPI Number
1992942064
NPI Type
Organization
Enumeration Date
01/12/2009
Specialties
(Taxonomies)Code
213E00000X
213ES0103X
213ES0131X
Primary Taxonomy
Yes
No
No
Licenses
State
Oregon
License Number
DP00263
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 33912
10424 SE CHERRY BLOSSOM DR STE F
City
Portland
Portland
State
OR
OR
Postal Code
97292-3912
97216-2825
Country
US
US
Telephone Number
(503) 760-5151
(503) 760-5151
Authorized Official
Name
Lester Tengsico
Title or Position
OWNER
Telephone Number
(503) 760-5151
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2009
Provider Address
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