NPI 1134604606

Stayton Family Practice INC

Organisation Family Medicine Physician Lebanon, OR

Practice location

Address: 41 E Ash St, Lebanon, OR 97355-3317
Phone: (503) 769-2641
Fax: (503) 769-3797
Mailing address: 1881 W Washington St, Stayton, OR 97383-9511

Authorised official

Name: Lance Brandon Large
Title: Medical Director
Phone: (503) 400-6140

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Oregon →

Registry record

NPI: 1134604606
Entity type: Organization
NPI issued: 1 Oct 2018
Record last updated: 15 Jun 2022

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.