# SANTIAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANTIAM MEMORIAL HOSPITAL
- **Other names:** Santiam Infectious Diseases and Travel Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235706185
- **Legal business name:** SANTIAM MEMORIAL HOSPITAL
- **Authorized official:** LYNDA FRASER (MEDICAL CLINICS QUALITY COORDINATOR)
- **Authorized official phone:** (503) 769-9254

## Contact information

- **Practice address:** 1401 N 10TH AVE, STAYTON, OR 97383-1311
- **Practice address phone:** (503) 769-9307
- **Practice address fax:** (503) 769-8692
- **Mailing address:** 1401 N 10TH AVE, STAYTON, OR 97383-1311

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/09/2021