Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
Samaritan Endocrinology LCH
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY A. PAPE MPA (CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-6313
(541) 451-6304
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
(541) 258-2101
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14-1453
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500688716
—
OR
Enumeration date
06/03/2015
Last updated
07/29/2015
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