Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Weight Management Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY A PAPE (CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3517 NW SAMARITAN DR, SUITE 100, CORVALLIS, OR 97330-3767
(541) 768-4280
(541) 768-4931
Mailing address
3517 NW SAMARITAN DR, SUITE 100, CORVALLIS, OR 97330-3767
(541) 768-4280
(541) 768-4931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651952
—
OR
Enumeration date
04/02/2012
Last updated
05/17/2017
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