Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIAH JOHNSON (CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
330 NW ELKS DR, CORVALLIS, OR 97330-3779
(541) 768-4900
(541) 639-4322
Mailing address
777 NW 9TH ST, SUITE 320, CORVALLIS, OR 97330-6169
(541) 768-4900
(541) 768-4901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651482
—
OR
Enumeration date
04/02/2012
Last updated
06/26/2025
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