Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Obstetrics, Gynecology & Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HENNUM (CEO)
(541) 768-5001
Entity
Organization
Contact information
Practice address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
(541) 768-5300
Mailing address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3738
(541) 768-5300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651472
—
OR
Enumeration date
04/02/2012
Last updated
04/23/2024
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