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GOOD SAMARITAN HOSPITAL CORVALLIS NPI 1275882102


NPI Information

NPI: 1275882102
Provider Name: GOOD SAMARITAN HOSPITAL CORVALLIS

Doing Business As: SAMARITAN OB/GYN RESIDENT CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3517 NW SAMARITAN DRIVE
SUITE 202
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5400
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GOOD SAMARITAN HOSPITAL CORVALLIS is an obstetrics gynecology in Corvallis, OR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GOOD SAMARITAN HOSPITAL CORVALLIS NPI is 1275882102. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Ob/gyn Resident Clinic.

The provider's business location address is:

3517 NW SAMARITAN DRIVE
SUITE 202
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5400

The provider's authorized official is Becky Pape .
The authorized official title is Coo and has the following contact phone number (541) 768-5009.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 1/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500657721MEDICAIDOREGON
238-0014MEDICARE PINOREGON
3R164041MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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