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

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: July 26, 2026.

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
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

Other Providers at the Same Location NPPES

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

Internal Medicine
550 3RD ST
LAKE OSWEGO, OR 97034

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 with the weekly NPPES data releases published by CMS.