| Stayton Family Practice Llc | |
|
1375 N 10th Ave Stayton OR 97383-2037 | |
| (503) 769-2641 | |
| (503) 769-3797 |
| Full Name | Stayton Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1375 N 10th Ave, Stayton, Oregon |
| Authorized Official Name and Position | Lance B Large (OWNER) |
| Authorized Official Contact | 5037692641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stayton Family Practice Llc 1375 N 10th Ave Stayton OR 97383-2037 Ph: (503) 769-2641 | Stayton Family Practice Llc 1375 N 10th Ave Stayton OR 97383-2037 Ph: (503) 769-2641 |
| NPI Number | 1659524494 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659524494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cascade Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1369 N 10th Ave, Stayton, OR 97383 Phone: 503-769-7546 Fax: 503-769-8563 | |
Guesly Dessieux, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 100, Stayton, OR 97383 Phone: 503-769-6386 | |
Jeanne L Fitzpatrick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-4602 Fax: 503-769-5416 | |
Damian E. Jorgensen M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9070 Fax: 503-769-5416 | |
Patrick R. Arden D.c.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Washington St, Stayton, OR 97383 Phone: 503-769-2801 | |
Nancy Dougherty, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9362 Fax: 503-769-5416 | |
Santiam Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 N 10th Ave, Ste. 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |