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Lake Medical Clinic, Inc.
Medical Specialty Clinic/Center in Lake Oswego, Oregon
NPI 1871693564

Lake Medical Clinic, Inc. is a Medical Specialty Clinic/Center based in Lake Oswego, OR and is specialized in Medical Specialty. Lake Medical Clinic, Inc. practices in Lake Oswego, OR. The NPI Number for Lake Medical Clinic, Inc. is 1871693564 and holds a License No. 12913 (Oregon).

The current practice location address for Lake Medical Clinic, Inc. is 550 3Rd St, Lake Oswego, OR and can be reached out via phone at 503-635-5044 and via fax at 503-635-3255. You can also correspond with Lake Medical Clinic, Inc. through the mailing address at PO BOX 365, LAKE OSWEGO, OR - 97034-0042 (mailing address contact number: 503-635-5044).

Location: 550 3Rd St, Lake Oswego, OR, 97034-0042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871693564
Provider Name
Lake Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
550 3Rd St, Lake Oswego, OR, 97034-0042
Phone Number
503-635-5044
Fax Number
503-635-3255
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
550 3Rd St
City
Lake Oswego
State
Oregon
Zip
97034-3002
Phone Number
503-635-5044
Fax Number
503-635-3255
person
Provider Business Mailing Address Details
Address
Po Box 365
City
Lake Oswego
State
Oregon
Zip
97034-0042
Phone Number
503-635-5044
Fax Number
503-635-3255
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
12913 (Oregon)
Definition
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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