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

Stayton Family Practice LLC

Organization Family Medicine Physician · NPI 1659524494

Stayton Family Practice LLC provides Family Medicine Physician services in Stayton, Oregon. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1375 N 10th Ave
Stayton, OR 97383-2037 Not confirmed with CMS for 17 years — call before visiting
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 number1659524494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Large — Owner · (503) 769-2641
NPI enumeratedOctober 24, 2008
Last updated in NPPESAugust 25, 2009
Mailing address1375 N 10th Ave, Stayton, OR 97383-2037

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