Individual
LESTER F TENGSICO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7505SEPOWELL BLVD, PORTLAND, OR 97206-2453
(503) 760-5151
(503) 972-2195
Mailing address
PO BOX 33912, PORTLAND, OR 97292-3912
(503) 760-5151
(503) 972-2195
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00263
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DS076893
—
OR
Enumeration date
04/19/2006
Last updated
11/03/2015
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