| Samaritan Medical Group - Breast Center - Corvallis | |
|
501 Nw Elks Dr Ste 101 Corvallis OR 97330-3757 | |
| (541) 768-1252 | |
| Not Available |
| Full Name | Samaritan Medical Group - Breast Center - Corvallis |
|---|---|
| Speciality | Clinic/center |
| Location | 501 Nw Elks Dr Ste 101, Corvallis, Oregon |
| Authorized Official Name and Position | Laura Alferd Hennum (CEO-GSRMC) |
| Authorized Official Contact | 5417685009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Medical Group - Breast Center - Corvallis Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-4410 | Samaritan Medical Group - Breast Center - Corvallis 501 Nw Elks Dr Ste 101 Corvallis OR 97330-3757 Ph: (541) 768-1252 |
| NPI Number | 1376164129 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376164129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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› Verified 8 days ago
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