Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jrn Lake O PC

Organization Surgery Physician · NPI 1124416722

Jrn Lake O PC is a Surgery Physician in Hillsboro, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10690 NE Cornell Rd Ste 324
Hillsboro, OR 97124-9224
Phone: (503) 297-9340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD25244 (OR)

Record details

NPI number1124416722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Richmond — Owner/President · (503) 504-6692
NPI enumeratedJanuary 5, 2015
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address17050 Pilkington Rd Ste 130, Lake Oswego, OR 97035-6308

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