# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Mental Health - Circle Blvd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417266511
- **Authorized official:** BECKY A PAPE (CEO)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 1112 NW CIRCLE BLVD, CORVALLIS, OR 97330-1462
- **Practice address phone:** (541) 768-1220
- **Mailing address:** 1112 NW CIRCLE BLVD, CORVALLIS, OR 97330-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 07/06/2018