Organization · Type 2 NPI
Lyndon G Johansen DPM PC
Podiatric Clinic/Center · Portland, OR
NPI number
1093993453
Active
Practice location
12658 SE Stark St
Portland, OR 97233-1058
Fax (503) 256-6298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1093993453
Lyndon G Johansen DPM PC's National Provider Identifier is 1093993453, issued on Feb 7, 2008. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Portland, OR. The record was last updated on Oct 5, 2011.