| Jeremy M Lake, Md Llc | |
|
232 Se 7th Ave Hillsboro OR 97123-4133 | |
| (503) 640-1614 | |
| (503) 681-0925 |
| Full Name | Jeremy M Lake, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 232 Se 7th Ave, Hillsboro, Oregon |
| Authorized Official Name and Position | Jeremy M Lake (MD) |
| Authorized Official Contact | 5036401614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy M Lake, Md Llc 232 Se 7th Ave Hillsboro OR 97123-4133 Ph: () - | Jeremy M Lake, Md Llc 232 Se 7th Ave Hillsboro OR 97123-4133 Ph: (503) 640-1614 |
| NPI Number | 1881878650 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Medicare PECOS PAC ID | 7810927563 |
|---|---|
| Medicare Enrollment ID | O20050812000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881878650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD24736 (Oregon) | Primary |
| Provider Name | Jeremy M Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114909371 PECOS PAC ID: 7618936709 Enrollment ID: I20041005000689 |
Providence Medical Group Newberg Specialties At Tanasbourne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124 Phone: 503-537-5900 Fax: 503-537-5959 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 971-281-3000 Fax: 503-352-8658 | |
Symmetry Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Se Oak St, Hillsboro, OR 97123 Phone: 503-214-2530 | |
Providence Medical Group Orenco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124 Phone: 503-216-1600 | |
Tuality Obstetrics & Gynecology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Se 8th Ave Ste 205, Hillsboro, OR 97123 Phone: 503-681-4145 Fax: 503-681-4146 | |
Edward F Clarke Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Se Ninth, Suite D, Hillsboro, OR 97123 Phone: 503-648-7128 Fax: 503-640-1727 | |
Westside Urology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave, Suite 4500, Hillsboro, OR 97123 Phone: 503-648-6611 Fax: 503-640-3178 |