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

Joseph Mychaylo Lake, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063399095

Joseph Mychaylo Lake, CCC-SLP is a Speech-Language Pathologist in Albany, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

385 Timber Ridge St NE
Albany, OR 97322-7425
Phone: (541) 926-2118
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17554 (OR)

Record details

NPI number1063399095
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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