| NPI | 1821671520 |
|---|---|
| Doing Business As | SAMARITAN MEDICAL GROUP FAMILY MEDICINE - NINTH ST |
| Entity Type | Organization |
| Authorized Contact | MARY ANN VANDERFORD Credentialing Manager 541-768-6765 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |