Organization · Type 2 NPI

Lake Medical Clinic, Inc.

Medical Specialty Clinic/Center · Lake Oswego, OR

NPI number 1871693564 Active

Practice location

550 3rd St
Lake Oswego, OR 97034-3002

Fax (503) 635-3255

Mailing address

PO Box 365
Lake Oswego, OR 97034-0042

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X12913 (OR)

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).

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About NPI 1871693564

Lake Medical Clinic, Inc.'s National Provider Identifier is 1871693564, issued on Sep 23, 2006. 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 Aug 22, 2020.