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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