MARCY G LAKE

BEAVERTON, OR
NPI1174550123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO173074)
Enumeration Date2006-06-27
Last Update Date2015-12-30
Business Address
-- MARCY G LAKE D.O.
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-813-2000
Mailing Address
-- MARCY G LAKE D.O.
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number:
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