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

Aurora Lake, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1538609938

Aurora Lake, ACNP is a Nurse Practitioner in Hillsboro, Oregon. Qualified in 2015, 11 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
11
Licensed in
MA, OR
In the registry since
2017
Specialties on file
4
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

335 SE 8th Ave
Hillsboro, OR 97123-4248
Phone: (503) 681-1111
Fax: (503) 681-4066
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 202001095NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN2291759 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN2291759 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 202001095NP-PP (OR)

Record details

NPI number1538609938
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMarch 3, 2017
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address720 Harrion Ave, Dob 503, Boston, MA 02118-1207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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