JEREMY M LAKE

HILLSBORO, OR
NPI1114909371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: OR  MD24736)
Enumeration Date2005-11-15
Last Update Date2008-01-09
Business Address
-- JEREMY M LAKE MD
232 SE 7TH AVE
HILLSBORO, OR 97123
Phone number: 503-640-1614
Mailing Address
-- JEREMY M LAKE MD
232 SE 7TH AVE
HILLSBORO, OR 97123
Phone number: 503-640-1614