Organization Active NPI

Lolo'S Kitchen LLC

  • Health Service Clinic/Center
  • Corvallis, OR
National Provider Identifier
1053287128
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LOLO'S KITCHEN LLC
Practice address
6735 SW Country Club Dr
Corvallis, OR 97333-1987
Phone
(503) 535-9703
Fax
(971) 484-1958
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Tobey, MS, RD, LDNPI 1679449862
Title
Employee
Phone
(503) 535-9703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

6735 SW Country Club Dr
Corvallis, OR 97333-1987

Mailing address

5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Phone (503) 535-9703

National Provider Directory

National Provider Directory

Locations

6735 SW Country Club Dr
Corvallis, OR 97333
Phone (503) 535-9703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1053287128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "503-535-9703",
            "fax_number": "971-484-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 SW COUNTRY CLUB DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331987",
            "telephone_number": "503-535-9703",
            "fax_number": "971-484-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLO'S KITCHEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "503-535-9703",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.