Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Parent organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Other names
SAMARITAN MEDICAL GROUP FAMILY MEDICINE - NINTH ST
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN HOSPITAL CORVALLIS
Authorized official
MARY ANN VANDERFORD (CREDENTIALING MANAGER)
(541) 768-6765
Entity
Organization
Contact information
Practice address
777 NW 9TH ST STE 320, CORVALLIS, OR 97330-6169
(541) 768-5142
(541) 768-4901
Mailing address
777 NW 9TH ST STE 320, CORVALLIS, OR 97330-6169
(541) 768-5142
(541) 768-4901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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