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Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Pediatrics - Circle Blvd.
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY PAPE (CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
1112 NW CIRCLE BLVD, CORVALLIS, OR 97330
(541) 768-1221
Mailing address
1112 NW CIRCLE BLVD, CORVALLIS, OR 97330-1462
(541) 768-1221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022528
—
OR
Enumeration date
02/28/2008
Last updated
06/05/2018
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