LYNDON G JOHANSEN DPM PC is a podiatric clinic center in Portland, OR. LYNDON G JOHANSEN DPM PC NPI is 1093993453. The provider is registered as an organization entity type.
The provider's business location address is:
12658 SE STARK ST
PORTLAND, OR
ZIP 97233-058
Phone: (503) 256-4018
Fax: (503) 256-6298
The provider's authorized official is Lyndon George Johansen .
The authorized official title is Owner and has the following contact phone number (503) 256-4018.
The enumeration date for this NPI number is 2/7/2008 and was last updated on 10/5/2011.