Organization Name: | GOOD SAMARITAN HOSPITAL CORVALLIS |
NPI Number: | 1013326537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BECKY PAPE (COO) |
Mailing Address: | 845 Sw 30th Street Corvallis |
State: | OR US |
Postal Code: | 973318629 |
Phone Number: | 5417687700 |
Fax Number: | 5417689784 |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 01/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |