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Organization
SANTIAM MEMORIAL HOSPITAL
Active
Organization
SANTIAM MEMORIAL HOSPITAL
Active
Other names
Santiam Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAGGIE HUDSON (CFO/COO)
(503) 769-2175
Entity
Organization
Contact information
Practice address
1369 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-8470
Mailing address
1369 N 10TH AVE, STAYTON, OR 97383-2037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/01/2013
Last updated
09/29/2016
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