# SANTIAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santiam Women's Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063731271
- **Authorized official:** DR. LYNDA FRASER (CLINIC COORDINATOR)
- **Authorized official phone:** (503) 769-9254

## Contact information

- **Practice address:** 1373 N 10TH AVE, STAYTON, OR 97383
- **Practice address phone:** (503) 769-9522
- **Practice address fax:** (503) 769-9530
- **Mailing address:** 1373 N 10TH AVE, STAYTON, OR 97383-2037
- **Mailing address phone:** (503) 769-9522
- **Mailing address fax:** (503) 769-9530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 06/26/2018
