LYNDON G JOHANSEN, DPM
Podiatry at Stark St, Portland, OR

License number
Oregon DP00230
Category
Podiatry
Type
Podiatrist
Address
Address
12658 SE Stark St, Portland, OR 97233
Phone
(503) 256-4018
(503) 256-6298 (Fax)
National Provider ID: 1306820402
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LYNDON G JOHANSEN at bizstanding.com

Lyndon Johansen DPM PC

12658 SE Stark St, Portland, OR 97233

Doing business as:
Lyndon G Johansen MD
Registration:
Jun 1, 2000
Site:
www.lyndonjohansendpm.com
Phone:
(503) 256-4018 (Phone), (503) 256-6298 (Fax)
State ID:
76064089
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President:
Dr Lyndon Johansen Dpm (President)
Agent:
Lyndon Johansen,12658 SE Stark St, Portland, OR 97233 (Physical)
Categories:
Podiatrists, Physicians - Specialists

Lyndon G Johansen Dpm

12658 SE Stark St, Portland, OR 97233

Industry:
Medical Practice
Description:
Lyndon G Johansen Dpm is a Medical Practice company located in 12658 Se Stark St, Portland, Oregon, United States.

Professional information

Lyndon G Johansen Photo 1

Lyndon G Johansen, Portland OR
Specialties:
Podiatrist
Address:
12658 Se Stark St, Portland, OR 97233

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