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Organization

SANTIAM MEMORIAL HOSPITAL

Active
Other names
Santiam Podiatry Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDA FRASER (CLINIC DIRECTOR)
(503) 769-9254
Entity
Organization

Contact information

Practice address
1369 N 10TH AVE, STAYTON, OR 97383
(503) 769-7960
(503) 769-2172
Mailing address
1369 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-7960
(503) 769-2172

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Enumeration date
12/26/2017
Last updated
08/15/2019
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