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Organization

SANTIAM MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGIE HUDSON (CFO/COO)
(503) 769-9236
Entity
Organization

Contact information

Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
(503) 769-5877
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
(503) 769-5877

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/29/2013
Last updated
04/29/2013
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