Stayton Family Practice INC

NPI #1285967133 in Jefferson, Oregon

Provider Information

NPI Number: 1285967133
Entity Type: Organization
Organization Name: Stayton Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 10, 2009
Last Updated: Jun 15, 2022

Practice Location

Address: 294 2ND ST N
City: Jefferson
State: Oregon
ZIP Code: 97352
Phone: (541) 327-2380

Authorized Official

Name: DR. LANCE B LARGE, MD
Title: OWNER
Phone: (503) 400-6140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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