Organization
SAMARITAN OPEN MRI LLC
Active
Other names
Samaritan Willamette Valley Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G TRIEBES (CEO)
(541) 812-4104
Entity
Organization
Contact information
Practice address
400 NW HICKORY STREET, ALBANY, OR 97321-1700
(541) 812-4135
Mailing address
400 NW HICKORY STREET, ALBANY, OR 97321-1700
(541) 812-5800
(541) 812-5201
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245785
—
OR
Enumeration date
02/12/2007
Last updated
06/24/2008
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