Organization · Type 2 NPI

Ponderosa Health, LLC

Medical Specialty Clinic/Center · Lake Oswego, OR

NPI number 1649818972 Active

Practice location

14523 Westlake Dr
Lake Oswego, OR 97035-7785

Fax (503) 868-4674

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

11 other providers at this address

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About NPI 1649818972

Ponderosa Health, LLC's National Provider Identifier is 1649818972, issued on Dec 17, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lake Oswego, OR. The record was last updated on Mar 26, 2025.