# GOOD SAMARITAN HOSPITAL CORVALLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Obstetrics, Gynecology & Midwifery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871859017
- **Authorized official:** LAURA HENNUM (CEO)
- **Authorized official phone:** (541) 768-5001

## Contact information

- **Practice address:** 3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
- **Practice address phone:** (541) 768-5300
- **Mailing address:** 3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3738
- **Mailing address phone:** (541) 768-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/23/2024