# GOOD SAMARITAN HOSPITAL CORVALLIS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Family Medicine Resident Clinic, Samaritan Family Medicine Resident Clinic - Corvallis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346514015
- **Authorized official:** JOSIAH JOHNSON (CEO - GSRMC)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 3517 NW SAMARITAN DRIVE SUITE 201, CORVALLIS, OR 97330-3769
- **Practice address phone:** (541) 768-5142
- **Practice address fax:** (541) 768-5355
- **Mailing address:** PO BOX 1189, CORVALLIS, OR 97339-1189
- **Mailing address phone:** (541) 768-6768
- **Mailing address fax:** (541) 768-9771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14-1074-5 | OR | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 10/01/2025