JRN LAKE O PC – Surgery Physician, NPI 1124416722

JRN LAKE O PC is a healthcare provider. based in Lake oswego, Oregon. specializing in Surgery Physician. The organization holds a License No. MD25244 (OR). The NPI Number for JRN LAKE O PC is 1124416722

Main info

Organization
Name
JRN LAKE O PC
NPI
1124416722
Phone
(503) 697-3255
Address
17050 PILKINGTON RD STE 130
Authorized Official
DR. JUDITH A. RICHMOND OWNER/PRESIDENT M.D
Enumeration Date
5 January 2015
Last Update Date
15 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JRN LAKE O PC

  • 17050 PILKINGTON RD STE 130

    LAKE OSWEGO, OR 970356308

    Phone: (503) 697-3255

    Fax: (503) 697-7792

    Type: Mailing

  • 10690 NE CORNELL RD STE 324

    HILLSBORO, OR 971249224

    Phone: (503) 297-9340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97035)

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Reviews

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Frequently asked questions

What federal number belongs to JRN LAKE O PC?
The federal identifier for JRN LAKE O PC is NPI 1124416722.
Does this profile mean JRN LAKE O PC is currently active?
Yes — JRN LAKE O PC appears active in the national provider directory.
What kind of provider is JRN LAKE O PC?
The page reflects Surgery Physician for JRN LAKE O PC. Clinical services aligned with this taxonomy classification.
Where is JRN LAKE O PC's primary listing?
We display Lake Oswego, Oregon because that is what the record indicates for JRN LAKE O PC.
How can I contact JRN LAKE O PC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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