Organization
SANTIAM MEMORIAL HOSPITAL
Active
Other names
Santiam Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R WADDLE (OFFICE MANAGER)
(503) 897-4100
Entity
Organization
Contact information
Practice address
280 S FIRST AVE, MILL CITY, OR 97360
(503) 897-4100
(503) 897-2673
Mailing address
PO BOX 47, MILL CITY, OR 97360-0047
(503) 897-4100
(503) 897-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
09/28/2016
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