Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stayton Family Practice Inc

Organization Family Medicine Physician · NPI 1134604606

Stayton Family Practice Inc provides Family Medicine Physician services in Lebanon, Oregon. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

41 E Ash St
Lebanon, OR 97355-3317
Phone: (503) 769-2641
Fax: (503) 769-3797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134604606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Large — Medical Director · (503) 400-6140
Other names Lebanon Family Practice; Lebanon Family Practice
NPI enumeratedOctober 1, 2018
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1881 W Washington St, Stayton, OR 97383-9511

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