OrganizationActive
Good Samaritan Hospital Corvallis
NPI 1083342356 · Sports Physical Therapist · Corvallis, OR
Provider details
- NPI number
- 1083342356
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Laura Hennum, Ceo-Gsrmc(541) 768-5011
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
845 Sw 30th St
Corvallis, OR 97331-8629
Phone: (541) 768-7700
Fax: (541) 768-9784
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1189
Corvallis, OR 97339-1189
Other names (DBA / former)
- Doing business as
- Samaritan Athletic Medicine - Physical Therapy
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.