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 1912130915

Stayton Family Practice Inc provides Family Medicine Physician services in Stayton, Oregon. Registered with an NPI since 2009.

In the registry since
2009
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

1881 W Washington St
Stayton, OR 97383-9511
Phone: (503) 400-6140
Fax: (503) 769-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1912130915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Large — Owner · (503) 400-6140
NPI enumeratedAugust 25, 2009
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1881 W Washington St, Stayton, OR 97383-9511

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