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Contact Information

OSWEGO MEDICAL LLC
17050 PILKINGTON RD STE 220
LAKE OSWEGO, OR97035-6309
 Phone: 541-392-6226
 Fax: 541-325-4063
 Website:
 

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
Indicates primary specialty

NPI Profile & details for OSWEGO MEDICAL LLC

NPI Number 1376482570
LBN Legal business name OSWEGO MEDICAL LLC
Authorized official JAMIE KEIG - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2026
Last updated 03/25/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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