Organization
SANTIAM MEMORIAL HOSPITAL
Active
Other names
Aumsville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA FRASER (CLINIC DIRECTOR)
(503) 769-9254
Entity
Organization
Contact information
Practice address
205 MAIN ST, AUMSVILLE, OR 97325
(503) 749-4734
(503) 749-3745
Mailing address
PO BOX 139, AUMSVILLE, OR 97325-0139
(503) 749-4734
(503) 749-3745
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287224
—
OR
Enumeration date
02/14/2007
Last updated
09/28/2016
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