| Samaritan Infectious Disease-depoe Bay | |
|
531 Nw Hwy 101 Suite A Depoe Bay OR 97341-9801 | |
| (541) 768-5810 | |
| (541) 768-5811 |
| Full Name | Samaritan Infectious Disease-depoe Bay |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 531 Nw Hwy 101, Depoe Bay, Oregon |
| Authorized Official Name and Position | David Bigelow (CEO) |
| Authorized Official Contact | 5415741801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Infectious Disease-depoe Bay 531 Nw Hwy 101 Suite A Depoe Bay OR 97341-9801 Ph: (541) 768-5810 | Samaritan Infectious Disease-depoe Bay 531 Nw Hwy 101 Suite A Depoe Bay OR 97341-9801 Ph: (541) 768-5810 |
| NPI Number | 1912257460 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912257460 | NPI | - | NPPES |
| 500657708 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Samaritan Depoe Bay Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 N Highway 101 Ste A, Depoe Bay, OR 97341 Phone: 541-765-3265 Fax: 541-765-3260 |