Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santiam Mobile Medicine LLC

Organization Nurse Practitioner · NPI 1750899035

Santiam Mobile Medicine LLC is a Nurse Practitioner in Stayton, Oregon. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

41805 Stayton Scio Rd SE
Stayton, OR 97383-9739
Phone: (503) 507-5356
Fax: (866) 225-2708
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1750899035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Lulay — Member · (503) 507-5356
NPI enumeratedJanuary 20, 2018
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing addressPo Box 118, Stayton, OR 97383-0118