| Samaritan Medical Group Orthopedics - Corvallis | |
|
3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785 | |
| (541) 574-4810 | |
| (541) 574-4965 |
| Full Name | Samaritan Medical Group Orthopedics - Corvallis |
|---|---|
| Speciality | Family Medicine |
| Location | 3620 Nw Samaritan Dr Ste 202, 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 Medical Group Orthopedics - Corvallis Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-6768 | Samaritan Medical Group Orthopedics - Corvallis 3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785 Ph: (541) 574-4810 |
| NPI Number | 1750647905 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750647905 | NPI | - | NPPES |
| 500651475 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14-1074 (Oregon) | Primary |
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