Lyndon G Johansen DPM PC
NPI 1093993453 · Podiatric Clinic/Center · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lyndon G Johansen DPM PC is a Podiatric Clinic/Center organization in Portland, OR (NPI 1093993453).
Provider details
- NPI number
- 1093993453
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lyndon Johansen, Owner(503) 256-4018
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2011-10-05
Frequently asked questions
- What is Lyndon G Johansen DPM PC's NPI number?
- Lyndon G Johansen DPM PC's National Provider Identifier (NPI) is 1093993453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lyndon G Johansen DPM PC?
- Lyndon G Johansen DPM PC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lyndon G Johansen DPM PC located?
- Lyndon G Johansen DPM PC's practice location on file with NPPES is 12658 Se Stark St, Portland, OR 97233-1058.
- What is Lyndon G Johansen DPM PC's phone number?
- The practice phone number listed in the NPPES registry for Lyndon G Johansen DPM PC is (503) 256-4018.
- Does Lyndon G Johansen DPM PC accept Medicare?
- Lyndon G Johansen DPM PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lyndon G Johansen DPM PC?
- The authorized official listed on Lyndon G Johansen DPM PC's NPPES record is Lyndon Johansen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lyndon G Johansen DPM PC's NPI active?
- Yes — Lyndon G Johansen DPM PC's NPI (1093993453) is active in the NPPES registry as of the last update on 2011-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.