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3521 Nw Samaritan Dr Ste 201 Corvallis OR 97330-4744 | |
| (541) 768-5140 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 3521 Nw Samaritan Dr Ste 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 |
|---|---|
Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-4410 | 3521 Nw Samaritan Dr Ste 201 Corvallis OR 97330-4744 Ph: (541) 768-5140 |
| NPI Number | 1063787851 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063787851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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