LYNDON G JOHANSEN DPM PC
NPI 1093993453
Clinic/Center - Podiatric in Portland, OR

Q: What is Lyndon G Johansen Dpm PC's NPI number?

The NPI number for Lyndon G Johansen Dpm PC is 1093993453. It was assigned to this organization in the NPPES registry on February 7, 2008.

Q: What is Lyndon G Johansen Dpm PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Active since February 07, 2008

12658 SE STARK ST, PORTLAND, OR 97233(503) 256-4018(503) 256-6298 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lyndon G Johansen Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNDON G JOHANSEN DPM PC (NPI 1093993453) is a healthcare organization registered as a podiatric in Portland, Oregon and active in the NPI registry since February 2008. The organization lists Lyndon George Johansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1093993453

Entity TypeOrganization

Primary Taxonomy261QP1100X

Legal Business NameLYNDON G JOHANSEN DPM PC

Location Address12658 SE STARK STPortland, OR 97233-1058

Mailing Address12658 Se Stark StPortland, OR 97233-1058 · (503) 256-4018 · Fax (503) 256-6298

Phone(503) 256-4018

Fax(503) 256-6298

Organization SubpartNo

Authorized OfficialLyndon George JohansenOwner · (503) 256-4018

Enumeration DateFebruary 7, 2008

Last NPPES UpdateOctober 5, 2011

✔ NPI 1093993453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities

Taxonomy Code261QP1100X

12658 SE STARK ST, Portland, OR 97233

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Other Identifiers 1

Medicare NSC4665150001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNDON G JOHANSEN DPM

Podiatrist

12658 SE STARK ST
PORTLAND, OR 97233

Multnomah County (503) 256-4018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyndon G Johansen Dpm PC's NPI number?

The NPI number for Lyndon G Johansen Dpm PC is 1093993453. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Lyndon G Johansen Dpm PC located?

Lyndon G Johansen Dpm PC is located at 12658 SE Stark St, Portland, OR 97233. The listed phone number is (503) 256-4018.

What is Lyndon G Johansen Dpm PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

What insurance does Lyndon G Johansen Dpm PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lyndon G Johansen Dpm PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lyndon G Johansen Dpm PC was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.