Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Medical Group Family Medicine - 26th Street
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HENNUM (CEO - GSRMC)
(541) 768-5011
Entity
Organization
Contact information
Practice address
850 SW 26TH ST, CORVALLIS, OR 97330-5427
(541) 768-8800
(541) 359-4070
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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