OrganizationActive
Mid-Valley Healthcare, Inc.
NPI 1043838519 · Geriatric Medicine (Family Medicine) Physician · Lebanon, OR
Provider details
- NPI number
- 1043838519
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendie Wunderwald, Ceo(541) 451-7195
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 N Santiam Hwy
Lebanon, OR 97355
Phone: (541) 451-6413
Fax: (541) 812-2041
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Other names (DBA / former)
- Doing business as
- Samaritan Medical Group - Geriatric Medicine
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2024-07-29
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.