Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Hand to Shoulder Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALFERD HENNUM (CEO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3620 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3785
(541) 768-6300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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