LAKE MEDICAL CLINIC, INC.
Ambulatory Health at 3 St, West Linn, OR

License number
Oregon 12913
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: EDWARD E CONRAD JR. MD
Title: VICE PRESIDENT
Phone: (503) 635-5044
Address
Address
550 3Rd St, West Linn, OR 97034
National Provider ID: 1871693564
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKE MEDICAL CLINIC, INC. at bizstanding.com

LAKE MEDICAL CLINIC, INC

West Linn, OR

Registration:
Sep 28, 1995
Addresses:
550 3 St, Lake Oswego, OR 97034 (Physical)
PO Box 365, Lake Oswego, OR 97034 (Mailing)
State ID:
47946181
Business type:
DOMESTIC BUSINESS CORPORATION
Agent:
Regina Mconrad,550 3 St, Lake Oswego, OR 97034 (Physical)

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