# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Walk-In Clinic - Corvallis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427323690
- **Authorized official:** JOSIAH JOHNSON (CEO-GSRMC)
- **Authorized official phone:** (541) 768-5011

## Contact information

- **Practice address:** 5234 PHILOMATH BOULEVARD, CORVALLIS, OR 97333-1042
- **Practice address phone:** (541) 768-4970
- **Practice address fax:** (541) 768-4971
- **Mailing address:** PO BOX 1189, CORVALLIS, OR 97339-1189
- **Mailing address phone:** (541) 768-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14-1074-4 | OR | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 05/05/2025