Active NPI
Downtown Foot Clinic, LLC
- Podiatric Clinic/Center
- Portland, OR
National Provider Identifier
1659952216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rae Louise Lantsberger, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Portland, OR
- NPI 1215153556
-
- Podiatrist
- Gresham, OR
- NPI 1639398845
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.