Jeremy M Lake is a Gastroenterology in Hillsboro, Oregon. Jeremy M Lake practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jeremy M Lake is 1114909371. The last update date is 2008-01-09.
Jeremy M Lake's current location address is 232 Se 7th Ave, Hillsboro, Oregon. You can contact this provider via phone number 5036401614 and fax number 5036810925. The mailing address for Jeremy M Lake is 232 Se 7th Ave, Hillsboro, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy M Lake |
|---|---|
| Address | 232 Se 7th Ave, Hillsboro, Oregon |
| Phone Number | 5036401614 |
| Fax Number | 5036810925 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114909371 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 232 Se 7th Ave |
|---|---|
| City | Hillsboro |
| State | Oregon (OR) |
| Post Code | 97123 |
| Phone Number | 5036401614 |
| Fax Number | 5036810925 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | MD24736 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183065 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeremy M Lake by the Centers for Medicare & Medicaid Services?
The Jeremy M Lake has been assigned the NPI (National Provider Identifier) 1114909371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jeremy M Lake's facilities are geographically located?
The facilities of Jeremy M Lake are physically situated at the following location: 232 Se 7Th Ave, Hillsboro, OR, 97123.
What is the Jeremy M Lake's area of specialization and corresponding taxonomy classification?
The Jeremy M Lake's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114909371 to Jeremy M Lake?
The Centers for Medicare & Medicaid Services assigned the 1114909371 to Jeremy M Lake on 2005-11-15.
As of what date was the information regarding Jeremy M Lake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy M Lake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-09.
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