OrganizationActive
Lolo'S Kitchen LLC
NPI 1053287128 · Health Service Clinic/Center · Corvallis, OR
Provider details
- NPI number
- 1053287128
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lauren Tobey, Employee(503) 535-9703
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6735 Sw Country Club Dr
Corvallis, OR 97333-1987
Phone: (503) 535-9703
Fax: (971) 484-1958
Approximate (ZIP-level) locationGet directions
Mailing address
5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.