Individual provider · Type 1 NPI
Lyndon G. Johansen, DPM
Podiatrist · Portland, OR
Practice location
12658 SE Stark St
Portland, OR 97233-1058
Fax (503) 256-6298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | DP00230 (OR) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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About NPI 1306820402
Lyndon G. Johansen, DPM's National Provider Identifier is 1306820402, issued on Dec 1, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Portland, OR. The record was last updated on Jan 2, 2013.