LAKE GROVE FAMILY MEDICAL CLINIC LLC
NPI 1366982258
Clinic/Center - Primary Care in Lake Oswego, OR

Q: What is Lake Grove Family Medical Clinic LLC's NPI number?

The NPI number for Lake Grove Family Medical Clinic LLC is 1366982258. It was assigned to this organization in the NPPES registry on February 27, 2017.

Q: What is Lake Grove Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 27, 2017

16463 BOONES FERRY RD, SUITE 100, LAKE OSWEGO, OR 97035(503) 635-1350(503) 635-8470 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2020, Sep 19, 2019, Nov 16, 2018 and 1 more (4 updates tracked since 2017).

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About Lake Grove Family Medical Clinic Llc NPPES

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

LAKE GROVE FAMILY MEDICAL CLINIC LLC (NPI 1366982258) is a healthcare organization registered as a primary care in Lake Oswego, Oregon and active in the NPI registry since February 2017. The organization lists Shannon K Sabins, Assistant Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1366982258

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameLAKE GROVE FAMILY MEDICAL CLINIC LLC

Location Address16463 BOONES FERRY RD, SUITE 100Lake Oswego, OR 97035-4259

Mailing Address16463 Boones Ferry Rd, Suite 100Lake Oswego, OR 97035-4259 · (503) 635-1350 · Fax (503) 635-8470

Phone(503) 635-1350

Fax(503) 635-8470

Organization SubpartNo

Authorized OfficialShannon K SabinsAssistant Clinic Manager · (503) 635-1350

Enumeration DateFebruary 27, 2017

Last NPPES UpdateNovember 3, 20204 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1366982258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in OR · DO14260

16463 BOONES FERRY RD, Lake Oswego, OR 97035

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN A. HASHIGUCHI, MD, LLC

Internal Medicine

16463 BOONES FERRY RD, #300
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-6256

BRIAN K KITTAMS M.D.

Pediatrics

16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-3743

THE RHYTHM CLINIC LLC

Internal Medicine (Cardiovascular Disease)

16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-6256

ELIZABETH GRAFF M.D.

Pediatrics

16463 BOONES FERRY RD, SUITE 400
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-3743

OLSON PEDIATRIC CLINIC, LLC

Pediatrics (Adolescent Medicine)

16463 BOONES FERRY RD, SUITE 400
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-3743

NORTHWEST ENDOCRINOLOGY, LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

16463 BOONES FERRY RD, SUITE 300
LAKE OSWEGO, OR 97035

Clackamas County (503) 303-8377

JANICE MODESITT LMT

Clinic/Center

16463 BOONES FERRY RD, STE. 100
LAKE OSWEGO, OR 97035

Clackamas County (503) 699-2955

DR. LAUREN MARLENE GEARHART MD

Internal Medicine

16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035

Clackamas County (503) 635-6256

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 Lake Grove Family Medical Clinic LLC's NPI number?

The NPI number for Lake Grove Family Medical Clinic LLC is 1366982258. It was assigned to this organization in the NPPES registry on February 27, 2017.

Where is Lake Grove Family Medical Clinic LLC located?

Lake Grove Family Medical Clinic LLC is located at 16463 Boones Ferry Rd Suite 100, Lake Oswego, OR 97035. The listed phone number is (503) 635-1350.

What is Lake Grove Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Lake Grove Family Medical Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lake Grove Family Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Grove Family Medical Clinic LLC was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.