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LAKE COUNTY MEDICAL CLINIC, P.C.
NPI 1922085604
Family Medicine in Lakeview, OR

Active since December 23, 2005
624 S J ST, LAKEVIEW, OR 97630(541) 947-3366(541) 947-4404 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake County Medical Clinic, P.c. NPPES

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

LAKE COUNTY MEDICAL CLINIC, P.C. (NPI 1922085604) is a healthcare organization registered as a family medicine in Lakeview, Oregon and active in the NPI registry since December 2005. The organization lists Sheena M Felder, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922085604
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE COUNTY MEDICAL CLINIC, P.C.
Location Address624 S J STLakeview, OR 97630-1680
Mailing Address624 S J StLakeview, OR 97630-1680 · (541) 947-3366 · Fax (541) 947-4404
Phone(541) 947-3366
Fax(541) 947-4404
Organization SubpartNo
Authorized OfficialSheena M FelderOffice Manager · (541) 947-3366
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 2, 2010
✔ NPI 1922085604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
624 S J ST, Lakeview, OR 97630
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Other Identifiers 2

Medicaid246694OR
Medicare ID-Type Unspecified101626OR

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 5

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

ELIEANA OSTIGUIN
Community Health Worker
624 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-3366
DR. ROBERT W BOMENGEN M.D.
Family Medicine
624 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-3366
DR. SPENCER A. CLARKE M.D.
Family Medicine
624 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-3366
DR. STEPHEN A HUSSEY M.D.
Family Medicine
624 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-3366
DR. TIMOTHY A GALLAGHER M.D.
Family Medicine
624 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-3366

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 County Medical Clinic, P.C.'s NPI number?

The NPI number for Lake County Medical Clinic, P.C. is 1922085604. It was assigned to this organization in the NPPES registry on December 23, 2005.

Where is Lake County Medical Clinic, P.C. located?

Lake County Medical Clinic, P.C. is located at 624 S J St, Lakeview, OR 97630. The listed phone number is (541) 947-3366.

What is Lake County Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lake County Medical Clinic, P.C. was last updated on July 2, 2010. 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.