| |
10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | |
(503) 760-5151 | |
(503) 760-5454 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 10424 Se Cherry Blossom Dr Ste F, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992942064 | NPI | - | NPPES |
Provider Name | Lester F Tengsico |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1538124904 PECOS PAC ID: 4688638604 Enrollment ID: I20041118000438 |
Mailing Address | Practice Location Address |
---|---|
Po Box 33912, Portland, OR 97292-3912 Ph: (503) 760-5151 | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 Ph: (503) 760-5151 |
Edward Theodore Ysunza Iv, Podiatrist Medicare: Medicare Enrolled Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Dr. Brian M. Bowen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213 Phone: 503-284-2000 Fax: 503-284-2002 | |
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 725 Nw 19th Ave, Portland, OR 97209 Phone: 503-243-2699 Fax: 503-243-2698 | |
Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583 | |
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212 |