Lester Tengsico LLC

NPI #1992942064 in Portland, Oregon

Provider Information

NPI Number: 1992942064
Entity Type: Organization
Organization Name: Lester Tengsico LLC
Primary Specialty: Podiatrist
Enumeration Date: Jan 12, 2009
Last Updated: Jan 12, 2009

Practice Location

Address: 10424 SE CHERRY BLOSSOM DR STE F
City: Portland
State: Oregon
ZIP Code: 97216-2825
Phone: (503) 760-5151

Authorized Official

Name: LESTER TENGSICO
Title: OWNER
Phone: (503) 760-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist	213E00000X	Primary

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