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Organization

GOOD SAMARITAN HOSPITAL CORVALLIS

Active
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Organization

GOOD SAMARITAN HOSPITAL CORVALLIS

Active
Other names
Samaritan Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
JOSIAH JOHNSON (CEO)
(541) 768-5009
Entity
Organization

Contact information

Practice address
330 NW ELKS DR, CORVALLIS, OR 97330-3779
(541) 768-4900
(541) 639-4322
Mailing address
777 NW 9TH ST, SUITE 320, CORVALLIS, OR 97330-6169
(541) 768-4900
(541) 768-4901

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500651482
OR
Enumeration date
04/02/2012
Last updated
06/26/2025
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