Organization · Type 2 NPI
Lolo's Kitchen LLC
Health Service Clinic/Center · Corvallis, OR
NPI number
1053287128
Active
Practice location
6735 SW Country Club Dr
Corvallis, OR 97333-1987
Fax (971) 484-1958
Mailing address
5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1053287128
Lolo's Kitchen LLC's National Provider Identifier is 1053287128, issued on Oct 15, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Corvallis, OR. The record was last updated on Oct 15, 2025.