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Lake Grove Family Medical Clinic Llc
Primary Care Clinic/Center in Lake Oswego, Oregon
NPI 1366982258

Lake Grove Family Medical Clinic Llc is a Primary Care Clinic/Center based in Lake Oswego, OR and is specialized in Primary Care. Lake Grove Family Medical Clinic Llc practices in Lake Oswego, OR. The NPI Number for Lake Grove Family Medical Clinic Llc is 1366982258 and holds a License No. DO14260 (Oregon).

The current practice location address for Lake Grove Family Medical Clinic Llc is 16463 Boones Ferry Rd, Lake Oswego, OR and can be reached out via phone at 503-635-1350 and via fax at 503-635-8470.

Location: 16463 Boones Ferry Rd, Lake Oswego, OR, 97035-4259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366982258
Provider Name
Lake Grove Family Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
16463 Boones Ferry Rd, Lake Oswego, OR, 97035-4259
Phone Number
503-635-1350
Fax Number
503-635-8470
Provider Enumeration Date
02/27/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-635-1350
Fax Number
503-635-8470
person
Provider Business Mailing Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-635-1350
Fax Number
503-635-8470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
DO14260 (Oregon)
Definition
Definition to come...
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