# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Occupational Medicine - Corvallis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790041549
- **Authorized official:** BECKY PAPE (CEO)
- **Authorized official phone:** (541) 768-5009

## Contact information

- **Practice address:** 5234 PHILOMATH BLVD., SUITE B, CORVALLIS, OR 97330-3767
- **Practice address phone:** (541) 768-6211
- **Practice address fax:** (541) 768-9385
- **Mailing address:** 5234 SW PHILOMATH BLVD STE B, CORVALLIS, OR 97333-1042
- **Mailing address phone:** (541) 768-6211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 11/08/2018