Organization
ALBANY GENERAL HOSPTIAL
Active
Other names
Samaritan Urology Albany
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TRIEBES (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
400 HICKORY ST NW STE 200, ALBANY, OR 97321-1700
(541) 812-5800
Mailing address
400 HICKORY ST NW STE 200, ALBANY, OR 97321-1700
(541) 812-5800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5500651934
—
OR
Enumeration date
06/22/2012
Last updated
05/02/2018
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