| NPI | 1992942064 |
|---|---|
| Doing Business As | DIVISION FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESTER TENGSICO Owner 503-760-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00263) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: OR DP00263) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00263) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |