Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Family Medicine Resident Clinic, Samaritan Family Medicine Resident Clinic - Corvallis
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIAH JOHNSON (CEO - GSRMC)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3517 NW SAMARITAN DRIVE SUITE 201, CORVALLIS, OR 97330-3769
(541) 768-5142
(541) 768-5355
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
(541) 768-6768
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14-1074-5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500652197
—
OR
Enumeration date
02/28/2012
Last updated
10/01/2025
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