| Good Samaritan Regional Medical Center Breast & Surgical Oncology | |
|
441 Nw Elks Dr Ste 101 Corvallis OR 97330-3744 | |
| (541) 768-1252 | |
| Not Available |
| Full Name | Good Samaritan Regional Medical Center Breast & Surgical Oncology |
|---|---|
| Speciality | Clinic/center |
| Location | 441 Nw Elks Dr Ste 101, 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 |
|---|---|
| Good Samaritan Regional Medical Center Breast & Surgical Oncology Po Box 1189 Corvallis OR 97339-1189 Ph: (541) 768-4410 | Good Samaritan Regional Medical Center Breast & Surgical Oncology 441 Nw Elks Dr Ste 101 Corvallis OR 97330-3744 Ph: (541) 768-1252 |
| NPI Number | 1376164129 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376164129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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