OrganizationActive
Lyndon G Johansen DPM PC
NPI 1093993453 · Podiatric Clinic/Center · Portland, OR
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
Detailed profile(88/100 index)
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
12658 Se Stark St
Portland, OR 97233-1058
Phone: (503) 256-4018
Fax: (503) 256-6298
Street-level locationGet directions
Mailing address
12658 Se Stark St
Portland, OR 97233-1058
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 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.