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

Lake Medical Clinic, Inc

Organization Medical Specialty Clinic/Center · NPI 1871693564

Lake Medical Clinic, Inc is a Medical Specialty Clinic/Center in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 3rd St
Lake Oswego, OR 97034-3002
Phone: (503) 635-5044
Fax: (503) 635-3255
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 12913 (OR)

Record details

NPI number1871693564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Conrad — Vice President · (503) 635-5044
NPI enumeratedSeptember 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 365, Lake Oswego, OR 97034-0042

Other providers in Lake Oswego