Organization
LYNDON G JOHANSEN DPM PC
Active
Organization
LYNDON G JOHANSEN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDON GEORGE JOHANSEN D.P.M. (OWNER)
(503) 256-4018
Entity
Organization
Contact information
Practice address
12658 SE STARK ST, PORTLAND, OR 97233-1058
(503) 256-4018
(503) 256-6298
Mailing address
12658 SE STARK ST, PORTLAND, OR 97233-1058
(503) 256-4018
(503) 256-6298
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
10/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up