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NPI Code Detail

MEDICARE: SAMARITAN PACIFIC HEALTH SERVICES INC

MEDICARE: SAMARITAN PACIFIC HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1790582849
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMARITAN PACIFIC HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 1189
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-1189
Country : US
Telephone Number : 541-768-4410
Fax Number :
Provider Business Practice Location Address
First Line : 5840 NW BIGGS ST STE B
Second Line :
City : NEWPORT
State : OR
Zip : 97365-1157
Country : US
Telephone Number : 541-574-7201
Fax Number :
Authorized Official
Title or Position : CEO - SPCH
Name : DR. LESLEY J OGDEN
Credential : MD
Telephone Number : 541-574-4674
Provider Enumeration Date : 02/26/2025
Last Update Date : 09/23/2025

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Directions to “SAMARITAN PACIFIC HEALTH SERVICES INC ” Practice Location

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