JOSEPH MYCHAYLO LAKE CCC-SLP
NPI 1063399095
Speech-Language Pathologist in Albany, OR

Active since August 20, 2025
385 TIMBER RIDGE ST NE, ALBANY, OR 97322(541) 926-2118 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Mychaylo Lake Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH MYCHAYLO LAKE CCC-SLP (NPI 1063399095) is an individual speech-language pathologist provider in Albany, Oregon, licensed in Oregon (17554) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1063399095
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJOSEPH MYCHAYLO LAKECredential: CCC-SLP
Location Address385 TIMBER RIDGE ST NEAlbany, OR 97322-7425
Mailing Address650 1st Ave Se # 202Albany, OR 97321-2744 · (541) 981-9983
Sole ProprietorNo
Enumeration DateAugust 20, 2025
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1063399095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in OR · 17554
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
385 TIMBER RIDGE ST NE, Albany, OR 97322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Lake's NPI number?

The NPI number for Joseph Lake is 1063399095. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Joseph Lake located?

Joseph Lake practices at 385 Timber Ridge St NE, Albany, OR 97322. The listed phone number is (541) 926-2118.

What is Joseph Lake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Joseph Lake was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.