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STAYTON FAMILY PRACTICE INC NPI 1285967133


NPI Information

NPI: 1285967133
Provider Name: STAYTON FAMILY PRACTICE INC

Doing Business As: JEFFERSON MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
294 2ND ST N
JEFFERSON, OR
ZIP 97352
Phone: (541) 327-2380
Get Directions

STAYTON FAMILY PRACTICE INC is a family medicine in Jefferson, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STAYTON FAMILY PRACTICE INC NPI is 1285967133. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jefferson Medical Clinic.

The provider's business location address is:

294 2ND ST N
JEFFERSON, OR
ZIP 97352
Phone: (541) 327-2380
Fax: (541) 327-2382

The provider's authorized official is Lance B Large .
The authorized official title is Owner and has the following contact phone number (503) 400-6140.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 6/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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