LYNDON G JOHANSEN DPM PC

PORTLAND, OR
NPI1093993453
Entity TypeOrganization
Authorized ContactLYNDON GEORGE JOHANSEN
Owner
503-256-4018
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
Enumeration Date2008-02-07
Last Update Date2011-10-05
Business Address
LYNDON G JOHANSEN DPM PC
12658 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-256-4018
Mailing Address
LYNDON G JOHANSEN DPM PC
12658 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-256-4018
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