NPI:
1467788919
Provider Name:
SANTIAM MEMORIAL HOSPITAL
Doing Business As: NANCY DOUGHERTY, MD
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
Address:
1401 N 10TH AVE
SUITE 200
STAYTON, OR
ZIP 97383
Phone:
(503) 769-9362
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SANTIAM MEMORIAL HOSPITAL is a primary care clinic center in Stayton, OR. SANTIAM MEMORIAL HOSPITAL NPI is 1467788919. The provider is registered as an organization entity type.
The provider Is Doing Business As Nancy Dougherty, Md.
The provider's business location address is:
1401 N 10TH AVE
SUITE 200
STAYTON, OR
ZIP 97383-311
Phone: (503) 769-9362
Fax: (503) 769-5416
The provider's authorized official is Lynda Fraser .
The authorized official title is Clinic Coordinator and has the following contact phone number (503) 510-8833.
The enumeration date for this NPI number is 10/19/2009 and was last updated on 10/19/2009.