| Lake Grove Family Medical Clinic Llc | |
|
16463 Boones Ferry Rd Suite 100 Lake Oswego OR 97035-4259 | |
| (503) 635-1350 | |
| (503) 635-8470 |
| Full Name | Lake Grove Family Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16463 Boones Ferry Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Shannon K Sabins (ASSISTANT CLINIC MANAGER) |
| Authorized Official Contact | 5036351350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Grove Family Medical Clinic Llc 16463 Boones Ferry Rd Suite 100 Lake Oswego OR 97035-4259 Ph: (503) 635-1350 | Lake Grove Family Medical Clinic Llc 16463 Boones Ferry Rd Suite 100 Lake Oswego OR 97035-4259 Ph: (503) 635-1350 |
| NPI Number | 1366982258 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366982258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO14260 (Oregon) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4823 Meadows Rd, Lake Oswego, OR 97035 Phone: 503-216-1580 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Kleiman Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N State St Ste 136, Lake Oswego, OR 97034 Phone: 310-951-3450 |