Organization
STAYTON FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE B LARGE MD (OWNER)
(503) 400-6140
Entity
Organization
Contact information
Practice address
1881 W WASHINGTON ST, STAYTON, OR 97383-9511
(503) 400-6140
(503) 769-3797
Mailing address
1881 W WASHINGTON ST, STAYTON, OR 97383-9511
(503) 400-6140
(503) 769-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
06/15/2022
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