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General NPI Number Information
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NPI Number | 1073439360
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Entity Type | Organization
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Legal Business Name | SAMARITAN PACIFIC HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1111 SW 10TH ST STE B
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City | NEWPORT
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State | OR
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Zip | 97365-5235
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Country | US
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Telephone | 541-574-1816
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1189
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City | CORVALLIS
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State | OR
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Zip | 97339-1189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO - SPCH
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Name | LESLY OGDEN
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Credential | MD
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Telephone | 541-557-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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