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Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Kidney Specialists - Corvallis
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY PAPE (COO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3615 NW SAMARITAN DRIVE, SUITE 203, CORVALLIS, OR 97330-3771
(541) 768-6930
(541) 768-6931
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-6768
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14-1074
OR
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500657712
—
OR
Enumeration date
03/26/2012
Last updated
03/16/2015
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