LAKE MEDICAL CLINIC, INC.
NPI 1871693564
Clinic/Center - Medical Specialty in Lake Oswego, OR

Q: What is Lake Medical Clinic, Inc.'s NPI number?

The NPI number for Lake Medical Clinic, Inc. is 1871693564. It was assigned to this organization in the NPPES registry on September 23, 2006.

Q: What is Lake Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since September 23, 2006

550 3RD ST, LAKE OSWEGO, OR 97034(503) 635-5044(503) 635-3255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Medical Clinic, Inc. NPPES

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

LAKE MEDICAL CLINIC, INC. (NPI 1871693564) is a healthcare organization registered as a medical specialty in Lake Oswego, Oregon and active in the NPI registry since September 2006. The organization lists Edward E Conrad, Vice President, as its authorized official.

NPPES Registry Identity

NPI1871693564

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLAKE MEDICAL CLINIC, INC.

Location Address550 3RD STLake Oswego, OR 97034-3002

Mailing AddressPo Box 365Lake Oswego, OR 97034-0042 · (503) 635-5044 · Fax (503) 635-3255

Phone(503) 635-5044

Fax(503) 635-3255

Organization SubpartNo

Authorized OfficialEdward E ConradVice President · (503) 635-5044

Enumeration DateSeptember 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871693564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in OR · 12913

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

550 3RD ST, Lake Oswego, OR 97034

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Other Providers at the Same Location NPPES

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

DR. EDWARD EVERETT CONRAD JR. M.D.

Internal Medicine

550 3RD ST
LAKE OSWEGO, OR 97034

Clackamas County (503) 635-5044

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 Medical Clinic, Inc.'s NPI number?

The NPI number for Lake Medical Clinic, Inc. is 1871693564. It was assigned to this organization in the NPPES registry on September 23, 2006.

Where is Lake Medical Clinic, Inc. located?

Lake Medical Clinic, Inc. is located at 550 3rd St, Lake Oswego, OR 97034. The listed phone number is (503) 635-5044.

What is Lake Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lake Medical Clinic, Inc. was last updated on August 22, 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.