# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Sports Medicine-V
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710244843
- **Authorized official:** BECKY PAPE (COO)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 325 VALLEY FOOTBALL CTR, ROOM 122-123, CORVALLIS, OR 97331-8544
- **Practice address phone:** (541) 737-4527
- **Practice address fax:** (541) 737-0864
- **Mailing address:** 325 VALLEY FOOTBALL CTR, ROOM 122-123, CORVALLIS, OR 97331-8544
- **Mailing address phone:** (541) 737-4527
- **Mailing address fax:** (541) 737-0864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 01/30/2015