OrganizationActive
Stayton Family Practice Inc
NPI 1285967133 · Family Medicine Physician · Jefferson, OR
Provider details
- NPI number
- 1285967133
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lance Large, Owner(503) 400-6140
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
294 2nd St N
Jefferson, OR 97352
Phone: (541) 327-2380
Fax: (541) 327-2382
Street-level locationGet directions
Mailing address
1881 W Washington St
Stayton, OR 97383-9511
Other names (DBA / former)
- Doing business as
- Jefferson Medical Clinic
- Doing business as
- Jefferson Medical Clinic
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.