# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Family Medicine, Southwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376809475
- **Authorized official:** BECKY PAPE (COO)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
- **Practice address phone:** (541) 757-2585
- **Mailing address:** 5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
- **Mailing address phone:** (541) 757-2585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 01/30/2015