Organization
GOOD SAMARITAN REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIALEE WOMACK LCSW (SOCIAL WORKER)
(541) 768-6833
Entity
Organization
Contact information
Practice address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-6833
(541) 768-5278
Mailing address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-6833
(541) 768-5278
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
L3743
OR
Other
Enumeration date
05/22/2007
Last updated
05/04/2012
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