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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYNDON G JOHANSEN DPM PC

Active Organization

LYNDON G JOHANSEN DPM PC is a Podiatric Clinic organization located in PORTLAND, Oregon. NPI 1093993453 is currently active in the NPPES registry. Verify at CMS.

Podiatric Clinic · PORTLAND, OR

Registration Details

NPI Number
1093993453
Provider Type
Organization
NPI Issued
Feb 7, 2008 (18.52581654031 yrs)
Last Updated
Oct 5, 2011

Practice Information

Address
12658 SE STARK ST
PORTLAND, OR, 972331058
Browse OR providers · Browse ZIP 97233
Phone
5032564018
Fax
5032566298
Primary Specialty
Podiatric Clinic
261QP1100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.