Jrn Lake O PC
NPI 1124416722ActiveOrganization· Surgery· Hillsboro, OR
Surgery in Hillsboro, Oregon, registered in NPPES in January 2015. The authorized official on file is Judith A. Richmond, M.D, Owner/President.
Overview
| NPI | 1124416722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2015 |
| Last updated in NPPES | Dec 15, 2020 |
| Certified by provider | Dec 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD25244 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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