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General NPI Number Information
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NPI Number | 1104631647
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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 | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 930 SW ABBEY ST
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City | NEWPORT
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State | OR
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Zip | 97365-4820
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Country | US
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Telephone | 541-265-2244
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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 | 541-768-4410
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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 | DR. LESLEY J OGDEN
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Credential |
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Telephone | 541-574-4674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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