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1548770043
DERRICK LENSGRAF
PORTLAND, OR
NPI
1548770043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5859)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
Dr. DERRICK LENSGRAF DC
16742 SE DIVISION ST
PORTLAND, OR 97236-1414
Phone number: 971-254-9988
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Mailing Address
Dr. DERRICK LENSGRAF DC
16742 SE DIVISION ST
PORTLAND, OR 97236-1414
Phone number:
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