Lyndon G Johansen DPM PC
Lyndon G Johansen DPM PC is a Podiatric Clinic/Center in Portland, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12658 SE Stark StPortland, OR 97233-1058
Phone: (503) 256-4018
Fax: (503) 256-6298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatric Clinic/Center (primary) | Taxonomy 261QP1100X |
|---|
Record details
| NPI number | 1093993453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lyndon Johansen — Owner · (503) 256-4018 |
| NPI enumerated | February 7, 2008 |
| Last updated in NPPES | October 5, 2011 |
| Mailing address | 12658 Se Stark St, Portland, OR 97233-1058 |
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