Graduated: 2013
NPI: 1063750925
Practice Locations (2)
GOOD SAMARITAN HOSPITAL CORVALLIS
3509 NW SAMARITAN DR, SUITE 215
CORVALLIS, OR 973303893
5417685235
DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P
2600 CTR ST NE
SALEM, OR 973012669
5039452800
Source: CMS National Downloadable File, September 2026.