| NPI | 1164942611 |
|---|---|
| Doing Business As | SAMARITAN RECOVERY CLINIC CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CAHILL CEO 541-557-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-11-13 |