Organization
PENTIMENTO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E. LEITNER D.C. (PRESIDENT)
(503) 227-2886
Entity
Organization
Contact information
Practice address
522 NW 12TH AVE, PORTLAND, OR 97209-3001
(503) 227-2886
(503) 790-1004
Mailing address
522 NW 12TH AVE., PORTLAND, OR 97209
(503) 227-2886
(503) 790-1004
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2421
OR
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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