Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Athletic Medicine - Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALFERD HENNUM (CEO-GSRMC)
(541) 768-5011
Entity
Organization
Contact information
Practice address
845 SW 30TH ST, CORVALLIS, OR 97331-8629
(541) 768-7700
(541) 768-9784
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-7700
(541) 768-9784
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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