Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNDON G JOHANSEN, DPM
Active Sole ProprietorLYNDON G JOHANSEN, DPM is a Podiatrist healthcare provider located in PORTLAND, Oregon. NPI 1306820402 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PORTLAND, OR
Registration Details
- NPI Number
- 1306820402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.662733945307 yrs)
- Last Updated
- Jan 2, 2013
- License
-
DP00230 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12658 SE STARK STPORTLAND, OR, 972331058Browse OR providers · Browse ZIP 97233
- Phone
- 5032564018
- Fax
- 5032566298
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. WAYNE A VETTER | DPM | 1467445387 |
| STEPHEN M. HAYES | DPM | 1548254329 |
| ROBERT ALLAN SAMPSON | DPM | 1730160516 |
| LESTER F TENGSICO | DPM | 1538124904 |
| DR. SUSAN G. RATHBUN | D.P.M. | 1861457921 |
| DR. ALMIRA KO | DPM | 1598867186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.