Organization
LOLO'S KITCHEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TOBEY MS, RD, LD (EMPLOYEE)
(503) 535-9703
Entity
Organization
Contact information
Practice address
6735 SW COUNTRY CLUB DR, CORVALLIS, OR 97333-1987
(503) 535-9703
(971) 484-1958
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(503) 535-9703
(971) 484-1958
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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