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Organization

DOWNTOWN FOOT CLINIC, LLC

Active
Other names
Downtown Foot Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAE LOUISE LANTSBERGER DPM (OWNER)
(503) 223-3380
Entity
Organization

Contact information

Practice address
610 SW ALDER ST STE 506, PORTLAND, OR 97205-3606
(503) 223-3380
(503) 223-2522
Mailing address
610 SW ALDER ST STE 506, PORTLAND, OR 97205-3606
(503) 223-3380
(503) 223-2522

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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