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THE LAKESIDE CLINIC
NPI 1710923651
Clinic/Center - Rural Health in Dexter, OR

Active since June 21, 2006
38843 DEXTER RD, DEXTER, OR 97431(541) 937-2134(541) 937-1370 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Lakeside Clinic NPPES

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

THE LAKESIDE CLINIC (NPI 1710923651) is a healthcare organization registered as a rural health in Dexter, Oregon and active in the NPI registry since June 2006. The organization lists Jayne Culberson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710923651
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTHE LAKESIDE CLINIC
Location Address38843 DEXTER RDDexter, OR 97431-9775
Mailing AddressPo Box 110, 38843 Dexter RoadDexter, OR 97431-0110 · (541) 937-2134 · Fax (541) 937-1370
Phone(541) 937-2134
Fax(541) 937-1370
Organization SubpartNo
Authorized OfficialJayne CulbersonCfo · (541) 937-2134
Enumeration DateJune 21, 2006
Last NPPES UpdateDecember 17, 2009
✔ NPI 1710923651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in OR · 084054259N1
38843 DEXTER RD, Dexter, OR 97431
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Other Identifiers 3

Medicare UPINW20367OR
Medicare OSCAR/certification383808OR
Medicaid122416OR

Other Providers at the Same Location NPPES 3

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

PEACEHEALTH
Clinic/Center (Rural Health)
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 767-5200
DESIREE M DENNULL FNP
Nurse Practitioner
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 937-2134
PEACEHEALTH
Clinic/Center (Rural Health)
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 937-2134

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 The Lakeside Clinic's NPI number?

The NPI number for The Lakeside Clinic is 1710923651. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is The Lakeside Clinic located?

The Lakeside Clinic is located at 38843 Dexter Rd, Dexter, OR 97431. The listed phone number is (541) 937-2134.

What is The Lakeside Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for The Lakeside Clinic was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.