Lake Oswego Foot Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKE OSWEGO FOOT CLINIC

Practice address

4800 Meadows Rd.
Ste 120
Lake Oswego, OR 97035

Phone

(503) 636-9656

Fax

(503) 636-9657

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerry J Yoon, DPMNPI 1871585802

Title

Physician/Owner

Phone

(503) 636-9656

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry J Yoon, DPM

  • Podiatrist
  • Lake Oswego, OR
  • NPI 1871585802
  Authorized official Same address or phone

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1851557607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD.",
            "address_2": "STE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-636-9656",
            "fax_number": "503-636-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD.",
            "address_2": "STE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-636-9656",
            "fax_number": "503-636-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OSWEGO FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-636-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OR",
            "license": "DP00338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286958",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Grove Wellness
• Lake Medical Clinic, Inc.
• Lake Oswego Chiropractic Clinic, P.C.
• Lake Oswego Dermatology Group, PC
• Lake Oswego Family Physicians
• Lake Oswego Health Center
• Lake Oswego Health Center
• Lake Oswego Massage Therapy
• Lake Oswego Modern Dentistry, PC (Lake Oswego Modern Dentistry)
• Lake Oswego of Cascadia, LLC

• Podiatrist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.