OrganizationActive
Lake Medical Clinic, Inc.
NPI 1871693564 · Medical Specialty Clinic/Center · Lake Oswego, OR
Provider details
- NPI number
- 1871693564
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Conrad, Vice President(503) 635-5044
- License
- 12913 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
550 3rd St
Lake Oswego, OR 97034-3002
Phone: (503) 635-5044
Fax: (503) 635-3255
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 365
Lake Oswego, OR 97034-0042
Registry dates
- Enumerated
- 2006-09-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.