Lyndon G Johansen is a Portland, Oregon based male podiatrist with 34 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 1990. He is also affiliated with hospitals like Adventist Health Portland. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lyndon G Johansen for Podiatry is DP00230 in Oregon. Lyndon G Johansen is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Lyndon G Johansen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
34+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
1990
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
12658 Se Stark St, Portland, Oregon, 97233-1058
Phone:
503-256-4018
Fax:
503-256-6298
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4688719420
Enrollment ID:
I20100304000840
NPI Number:
1306820402
NPI Enumeration Date:
01 Dec, 2005
NPI Last Update On:
02 Jan, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyndon G Johansen are as mentioned below.
License Number
Specialization
State
Status
DP00230
Podiatry
Oregon
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Adventist Health Portland (380060)
Portland, OR
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Lyndon G Johansen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
045653
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12658 Se Stark St, Portland, Oregon
Zip:
97233-1058
Phone Number:
503-256-4018
Fax Number:
503-256-6298
Patients can reach Lyndon G Johansen at 12658 Se Stark St, Portland, Oregon or can call to book an appointment on 503-256-4018. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Edward Theodore Ysunza Iv Speciality: Podiatrist - Foot & Ankle Surgery Address: 3710 Sw Us Veterans Hospital Rd, OR Phone: 503-220-8262
Dr. Brian M. Bowen, D.P.M. 19+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 1717 Ne 42nd Ave, Suite 3300, OR Phone: 503-284-2000 Fax: 503-284-2002
Ray A Mcclanahan, DPM Speciality: Podiatrist Address: 725 Nw 19th Ave, OR Phone: 503-243-2699 Fax: 503-243-2698
Paul Clint Jones, D.P.M. 27+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 8305 Se Monterey Ave #101, OR Phone: 503-652-1121 Fax: 503-652-2193
Zackery David Nance, DPM 13+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 5050 Ne Hoyt St, Suite 428, OR Phone: 503-963-2964 Fax: 503-963-2966