OrganizationActive
Santiam Memorial Hospital
NPI 1205048097 · Family Medicine Physician · Mill City, OR
Provider details
- NPI number
- 1205048097
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Waddle, Office Manager(503) 897-4100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
280 S First Ave
Mill City, OR 97360
Phone: (503) 897-4100
Fax: (503) 897-2673
Street-level locationGet directions
Mailing address
Po Box 47
Mill City, OR 97360-0047
Other names (DBA / former)
- Doing business as
- Santiam Medical Clinic
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.