# SANTIAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santiam General Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396152351
- **Authorized official:** LYNDA FRASER (CLINIC DIRECTOR)
- **Authorized official phone:** (503) 769-9254

## Contact information

- **Practice address:** 1371 N 10TH AVE, STAYTON, OR 97383-2037
- **Practice address phone:** (503) 769-3785
- **Practice address fax:** (503) 769-3741
- **Mailing address:** 1371 N 10TH AVE, STAYTON, OR 97383-2037
- **Mailing address phone:** (503) 769-3785
- **Mailing address fax:** (503) 769-3741

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 09/28/2016