institution
Lyndon G Johansen Dpm Pc
Podiatric Clinic/Center in Portland, Oregon
NPI 1093993453

Lyndon G Johansen Dpm Pc is a Podiatric Clinic/Center based in Portland, OR and is specialized in Podiatric. Lyndon G Johansen Dpm Pc practices in Portland, OR. The NPI Number for Lyndon G Johansen Dpm Pc is 1093993453 and holds a License No. (Oregon).

The current practice location address for Lyndon G Johansen Dpm Pc is 12658 Se Stark St, Portland, OR and can be reached out via phone at 503-256-4018 and via fax at 503-256-6298.

Location: 12658 Se Stark St, Portland, OR, 97233-1058
institution
Provider Profile Details
NPI Number
1093993453
Provider Name
Lyndon G Johansen Dpm Pc
Credential
Provider Entity Type
Organization
Address
12658 Se Stark St, Portland, OR, 97233-1058
Phone Number
503-256-4018
Fax Number
503-256-6298
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12658 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-256-4018
Fax Number
503-256-6298
person
Provider Business Mailing Address Details
Address
12658 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-256-4018
Fax Number
503-256-6298
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
()
Definition
Definition to come...
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