Organization
FIRSTCARE MEDICAL FOUNDATION
Active
Other names
Samaritan Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D. J. EWANCHYNA M.D. (MEDICAL DIRECTOR)
(541) 812-4450
Entity
Organization
Contact information
Practice address
1700 GEARY STREET SE, ALBANY, OR 97322-6842
(541) 812-5655
(541) 812-5650
Mailing address
PO BOX 369, CORVALLIS, OR 97339-0369
(541) 812-5655
(541) 812-5650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022528
—
OR
Enumeration date
06/24/2006
Last updated
05/18/2010
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