Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCY G LAKE, D.O.
Active Sole ProprietorMARCY G LAKE, D.O. is a Family Medicine healthcare provider located in BEAVERTON, Oregon. NPI 1174550123 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BEAVERTON, OR
Registration Details
- NPI Number
- 1174550123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2006 (20.107433097905 yrs)
- Last Updated
- Dec 30, 2015
- License
-
DO173074 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4855 SW WESTERN AVEBEAVERTON, OR, 970053460Browse OR providers · Browse ZIP 97005
- Phone
- 5038132000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| HERBERT H LIM | MD | 1235124520 |
| JENNIFER MAE SOYKE | M.D. | 1407827694 |
| DR. GREGORY N SMITH | MD | 1356317150 |
| DR. JEFFREY LEE KATZ | MD | 1992757264 |
| BURTON L SILVERMAN | MD | 1336191600 |
| TODD S GILLINGHAM | MD | 1033163027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.