Organization
SANTIAM MEMORIAL HOSPITAL
Active
Other names
Nancy Dougherty, MD
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA FRASER (CLINIC COORDINATOR)
(503) 510-8833
Entity
Organization
Contact information
Practice address
1401 N 10TH AVE, SUITE 200, STAYTON, OR 97383-1311
(503) 769-9362
(503) 769-5416
Mailing address
1401 N 10TH AVE, SUITE 200, STAYTON, OR 97383-1311
(503) 769-9362
(503) 769-5416
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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