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

Lake Grove Family Medical Clinic LLC

Organization Primary Care Clinic/Center · NPI 1366982258

Lake Grove Family Medical Clinic LLC is a Primary Care Clinic/Center in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16463 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-4259
Phone: (503) 635-1350
Fax: (503) 635-8470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence DO14260 (OR)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1366982258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Sabins — Assistant Clinic Manager · (503) 635-1350
NPI enumeratedFebruary 27, 2017
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259

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