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NORTH LAKE CLINIC LLC
NPI 1396422960
Nurse Practitioner - Family in Christmas Valley, OR

Active since July 05, 2023
87520 BAY RD., CHRISTMAS VALLEY, OR 97641(541) 219-2623 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Lake Clinic Llc NPPES

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

NORTH LAKE CLINIC LLC (NPI 1396422960), doing business as North Lake Clinic, is a healthcare organization registered as a family in Christmas Valley, Oregon and active in the NPI registry since July 2023. The organization lists Denise Griffiths, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396422960
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTH LAKE CLINIC LLC
Location Address87520 BAY RD.Christmas Valley, OR 97641
Mailing AddressPo Box 765Christmas Valley, OR 97641 · (541) 219-2623
Phone(541) 219-2623
Organization SubpartNo
Authorized OfficialDenise GriffithsCeo · (541) 219-2623
Enumeration DateJuly 5, 2023
NPPES CertifiedJune 25, 2023
✔ NPI 1396422960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
87520 BAY RD., Christmas Valley, OR 97641
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Other Names 1

Doing Business AsNorth Lake Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. SHAWN KIMBERLY LAVALLEE
Massage Therapist
87520 BAY RD., NORTH LAKE CLINIC
CHRISTMAS VALLEY, OR 97641
Lake County (541) 576-2110

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 North Lake Clinic LLC's NPI number?

The NPI number for North Lake Clinic LLC is 1396422960. It was assigned to this organization in the NPPES registry on July 5, 2023. The provider is doing business as North Lake Clinic.

Where is North Lake Clinic LLC located?

North Lake Clinic LLC is located at 87520 Bay Rd., Christmas Valley, OR 97641. The listed phone number is (541) 219-2623.

What is North Lake Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for North Lake Clinic LLC was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.