Individual
DR. DERRICK LENSGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16742 SE DIVISION ST, PORTLAND, OR 97236-1414
(971) 254-9988
Mailing address
16742 SE DIVISION ST, PORTLAND, OR 97236-1414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5859
OR
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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