Santiam Medical Group LLC

NPI #1992149322 in Stayton, Oregon

Provider Information

NPI Number: 1992149322
Entity Type: Organization
Organization Name: Santiam Medical Group LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 29, 2013
Last Updated: Apr 29, 2013

Practice Location

Address: 1401 N 10TH AVE
City: Stayton
State: Oregon
ZIP Code: 97383-1311
Phone: (503) 769-2175

Authorized Official

Name: MAGGIE HUDSON
Title: CFO/COO
Phone: (503) 769-9236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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