NPI 1053287128
Lolo's Kitchen LLC
Practice location
- Address
- 6735 SW Country Club Dr, Corvallis, OR 97333-1987
- Phone
- (503) 535-9703
- Fax
- (971) 484-1958
- Mailing address
- 5441 S Macadam Ave STE N, Portland, OR 97239-6106
Authorised official
- Name
- Lauren Tobey
- Title
- Employee
- Phone
- (503) 535-9703
Registered specialties
Health Service Clinic/Center
Primary
Registry record
- NPI
- 1053287128
- Entity type
- Organization
- NPI issued
- 15 Oct 2025
- Record last updated
- 15 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.