LYNDON G JOHANSEN

PORTLAND, OR
NPI1306820402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00230)
Enumeration Date2005-12-01
Last Update Date2013-01-02
Business Address
-- LYNDON G JOHANSEN DPM
12658 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-256-4018
Mailing Address
-- LYNDON G JOHANSEN DPM
12658 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-256-4018
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