Individual provider · Type 1 NPI

Marcy G. Lake, DO

Family Medicine Physician · Beaverton, OR

NPI number 1174550123 Active

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460

Call (503) 813-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XDO173074 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174550123

Marcy G. Lake, DO's National Provider Identifier is 1174550123, issued on Jun 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Beaverton, OR. The record was last updated on Dec 30, 2015.