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Lake Grove Family Medical Clinic LLC

Primary Care Clinic/Center in Lake Oswego, OR · enumerated 2017 · authorized official Shannon Sabins, Assistant Clinic Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366982258

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Grove Family Medical Clinic LLC
Practice address 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR, 97035
Fax (503) 635-8470
Enumeration date Feb 27, 2017
Last updated in NPPES Nov 3, 2020

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License DO14260 (OR) Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Shannon Sabins
Title Assistant Clinic Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Grove Family Medical Clinic LLC?
The NPI for Lake Grove Family Medical Clinic LLC is 1366982258, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Grove Family Medical Clinic LLC?
NPPES lists Shannon Sabins (Assistant Clinic Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-03.