Lyndon G Johansen Dpm Pc

LBN: Lyndon G Johansen Dpm Pc
Lyndon G Johansen Dpm Pc is an health care organization with primary practice located at 12658 Se Stark St , Portland OR 97233-1058. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Lyndon G Johansen Dpm Pc can be contacted via phone (503) 256-4018, or through Johansen, Lyndon George via phone (503) 256-4018.

Contact Information

Primary practice address
12658 Se Stark St Portland OR 97233-1058
Phone: (503) 256-4018
Fax: (503) 256-6298
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Lyndon George Doctor of Podiatric Medicine (DPM)
Phone: (503) 256-4018

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1093993453
LBN Legal business name Lyndon G Johansen Dpm Pc
DBA Doing business as
Authorized official Johansen, Lyndon George Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Oct 5th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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