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Active NPI 1063399095 Individual Practitioner Male Practitioner

Joseph Mychaylo Lake , CCC-SLP

Speech-Language Pathologist • Albany, OR

Professional Overview & Biography Verified Profile Summary

Joseph Lake, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Albany, OR. Practice services are available at 385 TIMBER RIDGE ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

385 Timber Ridge St Ne

Albany, OR 973227425

Telephone 5419262118

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Albany, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
37 Specialists

Practicing in Albany, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 17554

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 25, 2025

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2025

Registered at 385 TIMBER RIDGE ST NE, ALBANY, OR 973227425 (Tel: 5419262118)

📍
Updated Business Mailing Address August 25, 2025

Registered at 650 1ST AVE SE # 202, ALBANY, OR 973212744 (Tel: 5419819983)

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Provider Name / Credentials Updated August 25, 2025

Recorded as JOSEPH LAKE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Speech-Language Pathologist (License #17554 in OR)

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Initial NPI Registration & Enumeration August 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063399095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2025
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

650 1st Ave Se # 202

Albany, OR 973212744

Phone: 5419819983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.