| Samaritan Mental Health Family Center | |
|
3517 Nw Samaritan Drive Suite 101 Corvallis OR 97330-3768 | |
| (541) 768-4620 | |
| (541) 768-4621 |
| Full Name | Samaritan Mental Health Family Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3517 Nw Samaritan Drive Suite 101, Corvallis, Oregon |
| Authorized Official Name and Position | Becky Pape (COO) |
| Authorized Official Contact | 5417685009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Mental Health Family Center Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-6768 | Samaritan Mental Health Family Center 3517 Nw Samaritan Drive Suite 101 Corvallis OR 97330-3768 Ph: (541) 768-4620 |
| NPI Number | 1770849572 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770849572 | NPI | - | NPPES |
| 500665932 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 14-1074 (Oregon) | Primary |
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