Lantsberger, Rae Louise
Lantsberger, Rae Louise is an individual health care provider with primary practice located at 610 Sw Alder Suite 506, Portland OR 97205. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Lantsberger, Rae Louise can be contacted via phone (503) 223-3380.Contact Information
Primary practice address
610 Sw Alder Suite 506
Portland OR 97205
Phone: (503) 223-3380
Fax: (503) 223-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00212 | Oregon |
Profile Details
| NPI number | 1215153556 |
|---|---|
| LBN Legal business name | Lantsberger, Rae Louise |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215153556 | NPPES |
| Oregon | MEDICAID | 046297 |
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