Organization
SANTIAM MEMORIAL HOSPITAL
Active
Other names
Santiam Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA FRASER (CLINIC DIRECTOR)
(503) 769-9254
Entity
Organization
Contact information
Practice address
1401 N 10TH AVE, STE 200, STAYTON, OR 97383-1311
(503) 769-9455
(503) 769-9316
Mailing address
1401 N 10TH AVE STE 200, STAYTON, OR 97383-1487
(503) 769-9455
(503) 769-9316
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
10/22/2018
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