Organization
SAMARITAN HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN VANDERFORD (SHS CREDENTIALING)
(541) 768-6765
Entity
Organization
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 3000, CORVALLIS, OR 97339-3000
(541) 768-5111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9039
HO-9039
OR
Enumeration date
07/15/2015
Last updated
07/15/2015
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