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JEREMY M LAKE MD

Individual Provider (NPI-1) Active

Internal Medicine, Gastroenterology

Provider Information

NPI Number
1114909371
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
333 SE 7TH AVE STE 5200, HILLSBORO, OR, 971234182
Phone
(503) 681-4310
Fax
(503) 681-1989

Specialties & Taxonomies

Internal Medicine, Gastroenterology Primary License: OR #MD24736

All Addresses

MAILING

1400 SW 5TH AVE STE 500

PORTLAND, OR, 972015537

LOCATION

333 SE 7TH AVE STE 5200

HILLSBORO, OR, 971234182

(503) 681-4310