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General NPI Number Information
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NPI Number | 1851509905
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Entity Type | Organization
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Legal Business Name | SAMARITAN NORTH LINCOLN HOSPITAL
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 3011 NE 28TH ST STE 2
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City | LINCOLN CITY
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State | OR
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Zip | 97367-4518
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Country | US
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Telephone | 541-996-7231
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Fax | 541-359-3920
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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
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Name | DR. LESLEY OGDEN
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Credential | MD
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Telephone | 541-996-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP-0000874-CS
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License Number State | OR
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