| NPI | 1821802117 |
|---|---|
| Doing Business As | SAMARITAN GASTROENTEROLOGY CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | SY JOHNSON CEO Gsrmc 541-768-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |