Lyndon Johansen, DPM

NPI 1306820402 · on the registry since 2005 · sole proprietor

Practice

Address: 12658 Se Stark St
Portland, OR 97233
Phone: (503) 256-4018
Fax: (503) 256-6298
Organisation at this address: Lyndon G Johansen Dpm Pc
Northwest Extremity Specialists Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Podiatrist
213E00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-02
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon