Lake Medical Clinic, Inc.
NPI #1871693564 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1871693564
- Entity Type
- Organization
- Organization Name
- Lake Medical Clinic, Inc.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Sep 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 550 3RD ST
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-3002
- Phone
- (503) 635-5044
Authorized Official
- Name
- EDWARD E CONRAD JR., MD
- Title
- VICE PRESIDENT
- Phone
- (503) 635-5044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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