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Lyndon G Johansen, DPM
Podiatrist in Portland, Oregon
NPI 1306820402

Lyndon G Johansen is a Podiatrist based in Portland, OR. Lyndon G Johansen practices in Portland, OR and has the professional credentials of DPM. The NPI Number for Lyndon G Johansen is 1306820402 and holds a License No. DP00230 (Oregon).

The current practice location address for Lyndon G Johansen 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
person
Provider Profile Details
NPI Number
1306820402
Provider Name
Lyndon G Johansen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
12658 Se Stark St, Portland, OR, 97233-1058
Phone Number
503-256-4018
Fax Number
503-256-6298
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
045653 05 OR
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
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
DP00230 (Oregon)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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