Jrn Lake O PC

NPI #1124416722 in Hillsboro, Oregon

Provider Information

NPI Number: 1124416722
Entity Type: Organization
Organization Name: Jrn Lake O PC
Primary Specialty: Surgery
Enumeration Date: Jan 5, 2015
Last Updated: Dec 15, 2020

Practice Location

Address: 10690 NE CORNELL RD STE 324
City: Hillsboro
State: Oregon
ZIP Code: 97124-9224
Phone: (503) 297-9340

Authorized Official

Name: DR. JUDITH A. RICHMOND, M.D
Title: OWNER/PRESIDENT
Phone: (503) 504-6692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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