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

North Lake Clinic LLC

Organization Family Nurse Practitioner · NPI 1396422960

North Lake Clinic LLC is a Family Nurse Practitioner in Christmas Valley, Oregon. Registered with an NPI since 2023.

In the registry since
2023
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

87520 Bay Rd
Christmas Valley, OR 97641
Phone: (541) 219-2623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1396422960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Griffiths — Ceo · (541) 219-2623
Other names North Lake Clinic
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJune 25, 2023
Mailing addressPo Box 765, Christmas Valley, OR 97641

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