Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Sports Medicine-V
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY PAPE (COO)
(541) 768-5009
Entity
Organization
Contact information
Practice address
325 VALLEY FOOTBALL CTR, ROOM 122-123, CORVALLIS, OR 97331-8544
(541) 737-4527
(541) 737-0864
Mailing address
325 VALLEY FOOTBALL CTR, ROOM 122-123, CORVALLIS, OR 97331-8544
(541) 737-4527
(541) 737-0864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651544
—
OR
Enumeration date
04/13/2012
Last updated
01/30/2015
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