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General NPI Number Information
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NPI Number | 1801787171
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Entity Type | Organization
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Legal Business Name | SANTIAM MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1095 N 1ST AVE
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City | STAYTON
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State | OR
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Zip | 97383-1203
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Country | US
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Telephone | 503-769-9254
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 N 10TH AVE
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City | STAYTON
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State | OR
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Zip | 97383-1311
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Country | US
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Telephone | 503-769-2175
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Fax |
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Authorized Official
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Title or Position | PAYOR RELATIONS MANAGER
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Name | LYNDA FRASER
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Credential |
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Telephone | 503-769-9254
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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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