# SANTIAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corban University Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023628419
- **Authorized official:** LYNDA FRASER (CLINIC DIRECTOR)
- **Authorized official phone:** (503) 769-9254

## Contact information

- **Practice address:** 5000 DEER PARK DR SE, SALEM, OR 97317-9392
- **Practice address phone:** (503) 589-8101
- **Mailing address:** 1401 N 10TH AVE, STAYTON, OR 97383-1311
- **Mailing address phone:** (503) 769-9254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 07/31/2020