Organization
ALBANY GENERAL HOSPITAL
Active
Organization
ALBANY GENERAL HOSPITAL
Active
Other names
Samaritan Neuropsychology Albany
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G. TRIEBES MBA (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
534 PLEASANT VIEW WAY NW, SUITE 200, ALBANY, OR 97321-1700
(541) 812-5760
(541) 812-5650
Mailing address
534 PLEASANT VIEW WAY NW, SUITE 200, ALBANY, OR 97321-1700
(541) 812-5760
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
14-1459
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500686944
—
OR
Enumeration date
01/21/2015
Last updated
10/17/2016
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