Organization
SAMARITAN PACIFIC HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE OGDEN MD (CEO)
(541) 451-6364
Entity
Organization
Contact information
Practice address
325 INDUSTRIAL WAY, LEBANON, OR 97355-2852
(541) 451-6364
(541) 451-6366
Mailing address
PO BOX 459, LEBANON, OR 97355-0459
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500614663
—
OR
01
—
NPC-0003036
OREGON BOARD OF PHARMACY
OR
Enumeration date
03/04/2008
Last updated
11/09/2017
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