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

Stayton Family Practice Inc

Organization Family Medicine Physician · NPI 1912130915

Stayton Family Practice Inc is a Family Medicine Physician 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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