Healthcare Provider Details

I. General information

NPI: 1831246248
Provider Name (Legal Business Name): SAMARITAN PACIFIC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 SW ABBEY ST STE A
NEWPORT OR
97365-4820
US

IV. Provider business mailing address

PO BOX 1189
CORVALLIS OR
97339-1189
US

V. Phone/Fax

Practice location:
  • Phone: 541-265-8816
  • Fax:
Mailing address:
  • Phone: 541-768-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLEY J. OGDEN
Title or Position: CEO-SPCH
Credential: MD, FACEP
Phone: 541-574-4674