Stayton Family Practice INC

NPI #1134604606 in Lebanon, Oregon

Provider Information

NPI Number: 1134604606
Entity Type: Organization
Organization Name: Stayton Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 1, 2018
Last Updated: Jun 15, 2022

Practice Location

Address: 41 E ASH ST
City: Lebanon
State: Oregon
ZIP Code: 97355-3317
Phone: (503) 769-2641

Authorized Official

Name: LANCE BRANDON LARGE, MD
Title: MEDICAL DIRECTOR
Phone: (503) 400-6140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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