Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Breast, Reconstruction & Surgical Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M. CAHILL III (GSRMC - CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
996 NW CIRCLE BLVD, SUITE 103, CORVALLIS, OR 97330-1485
(541) 768-1252
(541) 768-9355
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-6768
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14-1074
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651831
—
OR
Enumeration date
04/02/2012
Last updated
10/07/2024
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