# SAMARITAN ENDOSCOPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649327008
- **Authorized official:** MR. STEVEN W. JASPERSON (CEO)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 3509 NW SAMARITAN DRIVE, SUITE 201, CORVALLIS, OR 97330-3766
- **Practice address phone:** (541) 768-4260
- **Practice address fax:** (541) 768-4261
- **Mailing address:** 3509 NW SAMARITAN DRIVE, SUITE 201, CORVALLIS, OR 97330-3766
- **Mailing address phone:** (541) 768-4260
- **Mailing address fax:** (541) 768-4261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071575 | OR | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/02/2010