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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE GROVE FAMILY MEDICAL CLINIC LLC

Active Organization

LAKE GROVE FAMILY MEDICAL CLINIC LLC is a Primary Care Clinic organization located in LAKE OSWEGO, Oregon. NPI 1366982258 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · LAKE OSWEGO, OR

Registration Details

NPI Number
1366982258
Provider Type
Organization
NPI Issued
Feb 27, 2017 (9.4954661965059 yrs)
Last Updated
Nov 3, 2020
License
DO14260 (OR)

Practice Information

Address
16463 BOONES FERRY RD
SUITE 100
LAKE OSWEGO, OR, 970354259
Browse OR providers · Browse ZIP 97035
Phone
5036351350
Fax
5036358470
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Organizations in LAKE OSWEGO, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.