| NPI | 1134604606 |
|---|---|
| Doing Business As | LEBANON FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LANCE BRANDON LARGE Medical Director 503-400-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-06-15 |