JRN Lake O PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD25244 Issued in OR

Legal business name

JRN LAKE O PC

Practice address

10690 NE Cornell Rd Ste 324
Hillsboro, OR 97124-9224

Phone

(503) 297-9340

NPI assigned

Jan 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judith A. Richmond, M.D

Title

Owner/President

Phone

(503) 504-6692

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon R Cober, MD

  • Specialist
  • Hillsboro, OR
  • NPI 1649353525
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1124416722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 PILKINGTON RD STE 130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356308",
            "telephone_number": "503-697-3255",
            "fax_number": "503-697-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 NE CORNELL RD STE 324",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249224",
            "telephone_number": "503-297-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRN LAKE O PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-504-6692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD25244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor M Josefowicz
• Tara Joseph
• Austin D. Jou, M.D.
• Journey Counseling LLC
• Sophie Marie Joyal
• Rosalia Villegas Juarez, ND
• Melissa Judd
• Colleen Jude
• Janet Mi Young Jun, DC
• David Loit Junkin Jr., D.C.

• Surgery Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.