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

Andrew Lake

Individual provider Physical Therapist · NPI 1093443145

Andrew Lake is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

16083 SW Uppr Boones Ferry RD Ste 320
Portland, OR 97224-7736
Phone: (503) 443-6156
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093443145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

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