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Organization

SANTIAM MEMORIAL HOSPITAL ER GROUP

Active
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Organization

SANTIAM MEMORIAL HOSPITAL ER GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY FLETCHALL (CHIEF EXECUTIVE OFFICER)
(503) 769-9233
Entity
Organization

Contact information

Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
(503) 769-5312
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
(503) 769-5312

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0555102-0
OR

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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