Organization · Type 2 NPI

Stayton Family Practice Inc

Family Medicine Physician · Jefferson, OR

NPI number 1285967133 Active

Practice location

294 2nd St N
Jefferson, OR 97352

Call (541) 327-2380 Map

Fax (541) 327-2382

Mailing address

1881 W Washington St
Stayton, OR 97383-9511

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1285967133
Entity type: Organization (Type 2)
Issued: Sep 10, 2009
Last updated: Jun 15, 2022
Status: Active

Other names

<unavail>
Jefferson Medical Clinic · doing business as
Jefferson Medical Clinic · doing business as

Authorized official

Dr. Lance B Large, MD
Owner
(503) 400-6140

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285967133

Stayton Family Practice Inc's National Provider Identifier is 1285967133, issued on Sep 10, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jefferson, OR. The record was last updated on Jun 15, 2022.