LAKE GROVE FAMILY MEDICAL CLINIC LLC – Primary Care Clinic/Center, NPI 1366982258

LAKE GROVE FAMILY MEDICAL CLINIC LLC is a healthcare provider. based in Lake oswego, Oregon. specializing in Primary Care Clinic/Center. The organization holds a License No. DO14260 (OR). The NPI Number for LAKE GROVE FAMILY MEDICAL CLINIC LLC is 1366982258

Main info

Organization
Name
LAKE GROVE FAMILY MEDICAL CLINIC LLC
NPI
1366982258
Phone
(503) 635-1350
Address
16463 BOONES FERRY RD
Authorized Official
SHANNON K SABINS ASSISTANT CLINIC MANAGER
Enumeration Date
27 February 2017
Last Update Date
3 November 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for LAKE GROVE FAMILY MEDICAL CLINIC LLC

  • 16463, Boones Ferry Road, Lake Grove, Jean, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States

    SUITE 100

    LAKE OSWEGO, OR 970354259

    Phone: (503) 635-1350

    Fax: (503) 635-8470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 97035)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for LAKE GROVE FAMILY MEDICAL CLINIC LLC?
The registry entry for LAKE GROVE FAMILY MEDICAL CLINIC LLC shows NPI 1366982258.
Is LAKE GROVE FAMILY MEDICAL CLINIC LLC's NPI status active today?
Active status means LAKE GROVE FAMILY MEDICAL CLINIC LLC's NPI record is not deactivated in the public file.
How should patients interpret LAKE GROVE FAMILY MEDICAL CLINIC LLC's specialty?
The extract shows Primary Care Clinic/Center for LAKE GROVE FAMILY MEDICAL CLINIC LLC. Clinical services aligned with this taxonomy classification.
Which community is linked to LAKE GROVE FAMILY MEDICAL CLINIC LLC?
LAKE GROVE FAMILY MEDICAL CLINIC LLC shows a connection to Lake Oswego, Oregon in registry-derived data.
Can I export LAKE GROVE FAMILY MEDICAL CLINIC LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MRS. MONICA FERGUSON (FNP)

Primary Care Clinic/Center
945, Red Schoolhouse Road, Gilbert Mills, Fulton, Town of Schroeppel, Oswego County, New York, 13069, United States
NPI: 1932154366

KENNETH P MELVIN, MD, PC

Primary Care Clinic/Center
4035, Mercantile Drive, Waluga, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
NPI: 1255501698

MARION J DARLING MDPC

Primary Care Clinic/Center
16699, Boones Ferry Road, Cook, Lake Forest, Jean, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
NPI: 1255502928

DR PEPEL FAMILY PRACTICE

Primary Care Clinic/Center
15880 QUARRY RD
NPI: 1043516289

Encompass Natural Health Center

Primary Care Clinic/Center
30740 SW BOONES FERRY RD
NPI: 1568805414

Housecall Medical Services Inc

Primary Care Clinic/Center
511, Main Street, Canemah, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
NPI: 1336596113

KLEIMAN HEALTHCARE SERVICES

Primary Care Clinic/Center
8101 SW Nyberg St Ste 106
NPI: 1154070084

First Nurses

General Practice Physician
522 W RIVERSIDE AVE STE 4928
NPI: 1609595297

VITALE LLC

Primary Care Clinic/Center
18892 ARROWWOOD AVE
NPI: 1699659680