Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
SAMARITAN RECOVERY CLINIC CORVALLIS
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M CAHILL (CEO)
(541) 557-6441
Entity
Organization
Contact information
Practice address
5234 SW PHILOMATH BLVD STE C, CORVALLIS, OR 97333-1042
(541) 451-7450
(541) 451-7454
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
(541) 451-7450
(541) 451-7454
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
06/26/2017
Last updated
11/13/2017
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