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NPI Profile for OSWEGO MEDICAL LLC in LAKE OSWEGO, OR.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
General Practice |
163WG0000X | |||
Health & Wellness Coach |
171400000X | |||
Integrative Medicine |
202D00000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Nutritionist |
133N00000X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1376482570 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/25/2026 | |
| Last updated | 03/25/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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OSWEGO MEDICAL LLC
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OSWEGO MEDICAL LLC