Organization Active NPI

Downtown Foot Clinic, LLC

  • Podiatric Clinic/Center
  • Portland, OR
National Provider Identifier
1659952216
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
DOWNTOWN FOOT CLINIC, LLC
Practice address
610 SW Alder St Ste 506
Portland, OR 97205-3606
Phone
(503) 223-3380
Fax
(503) 223-2522
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rae Louise Lantsberger, DPMNPI 1215153556
Title
Owner
Phone
(503) 223-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

610 SW Alder St Ste 506
Portland, OR 97205-3606

Mailing address

610 SW Alder St Ste 506
Portland, OR 97205-3606
Phone (503) 223-3380

Other names 1

  • Downtown Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

610 SW Alder St
Ste 506
Portland, OR 97205
Phone (503) 223-3380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1659952216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST STE 506",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053606",
            "telephone_number": "503-223-3380",
            "fax_number": "503-223-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST STE 506",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053606",
            "telephone_number": "503-223-3380",
            "fax_number": "503-223-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN FOOT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "LANTSBERGER",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-223-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.