Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Urology - Corvallis
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M CAHILL III (CEO-GSRMC)
(541) 768-7914
Entity
Organization
Contact information
Practice address
990 NW CIRCLE BLVD SUITE 102, CORVALLIS, OR 97330-1967
(541) 768-5486
(541) 768-5484
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-6768
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14-1074-1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651453
—
OR
Enumeration date
01/06/2012
Last updated
07/31/2024
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