Healthcare Provider Details

I. General information

NPI: 1104588268
Provider Name (Legal Business Name): SAMARITAN NORTH LINCOLN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NE 28TH ST STE B
LINCOLN CITY OR
97367-4524
US

IV. Provider business mailing address

PO BOX 1189
CORVALLIS OR
97339-1189
US

V. Phone/Fax

Practice location:
  • Phone: 541-768-7900
  • Fax:
Mailing address:
  • Phone: 541-768-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLEY J. OGDEN
Title or Position: CEO
Credential:
Phone: 541-557-6411