NPI | 1346514015 |
---|---|
Doing Business As | SAMARITAN FAMILY MEDICINE RESIDENT CLINIC - CORVALLIS |
Entity Type | Organization |
Authorized Contact | JOSIAH JOHNSON CEO Gsrmc 541-768-5009 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 14-1074-5) |
Enumeration Date | 2012-02-28 |
Last Update Date | 2025-10-01 |