Stayton Family Practice INC

NPI #1912130915 in Stayton, Oregon

Provider Information

NPI Number: 1912130915
Entity Type: Organization
Organization Name: Stayton Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 25, 2009
Last Updated: Jun 15, 2022

Practice Location

Address: 1881 W WASHINGTON ST
City: Stayton
State: Oregon
ZIP Code: 97383-9511
Phone: (503) 400-6140

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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DR. Richard C Boughn, MD	Family Medicine	Stayton	AI Deep Dive
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