| Samaritan Family Medicine Resident Clinic | |
|
3517 Nw Samaritan Drive Suite 201 Corvallis OR 97330-3769 | |
| (541) 768-5142 | |
| (541) 768-5355 |
| Full Name | Samaritan Family Medicine Resident Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3517 Nw Samaritan Drive Suite 201, Corvallis, Oregon |
| Authorized Official Name and Position | Joseph M Cahill (CEO-GSRMC) |
| Authorized Official Contact | 5417687914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Family Medicine Resident Clinic Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-6768 | Samaritan Family Medicine Resident Clinic 3517 Nw Samaritan Drive Suite 201 Corvallis OR 97330-3769 Ph: (541) 768-5142 |
| NPI Number | 1346514015 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346514015 | NPI | - | NPPES |
| 500652197 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14-1074-5 (Oregon) | Primary |
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