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SANTIAM MEDICAL ASSOCIATES
NPI 1477909570
Clinic/Center - Rural Health in Stayton, OR

Active since May 06, 2016CLIA 38D0626345 · Waiver
1401 N 10TH AVE, STE. 100, STAYTON, OR 97383(503) 769-6386(503) 769-5647 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Santiam Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTIAM MEDICAL ASSOCIATES (NPI 1477909570) is a healthcare organization registered as a rural health in Stayton, Oregon and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Lynda Fraser, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1477909570
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSANTIAM MEMORIAL HOSPITAL
Location Address1401 N 10TH AVE, STE. 100Stayton, OR 97383-1486
Mailing Address1401 N 10th Ave, Ste. 100Stayton, OR 97383-1486 · (503) 769-6386 · Fax (503) 769-5647
Phone(503) 769-6386
Fax(503) 769-5647
Organization SubpartNo
Authorized OfficialLynda FraserClinic Director · (503) 769-9254
Enumeration DateMay 6, 2016
Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration
✔ NPI 1477909570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1401 N 10TH AVE, Stayton, OR 97383
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Other Names 1

Doing Business AsSantiam Medical Associates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0626345

Santiam Medical Associates · Stayton, OR
Active · expires Nov 14, 2027
CLIA Number38D0626345
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorDr. Guesly Dessieux Do
Laboratory Phone(503) 769-6386
Laboratory LocationSantiam Medical Associates1401 N Tenth Suite 100, Stayton, OR 97383
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA ARIA CLARK CHW
Community Health Worker
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (971) 600-5847
SAMANTHA DIVAN PHARMD
Pharmacist
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9223
SANTIAM MEMORIAL HOSPITAL ER GROUP
Emergency Medicine
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-2175
MARY MARGARET GESCHER
Pharmacist
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9223
ALLISON LEACH GLADNEY CLC
Lactation Consultant, Non-RN
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9200
ELIZABETH APOLLO-LOOMIS APNP
Nurse Practitioner (Gerontology)
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9307
TAKAHLA CIRCLE APRN
Nurse Practitioner (Psychiatric/Mental Health)
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (541) 852-2746
DR. AUSTIN LANDREVILLE PHARMD
Pharmacist
1401 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-9223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santiam Memorial Hospital's NPI number?

The NPI number for Santiam Memorial Hospital is 1477909570. It was assigned to this organization in the NPPES registry on May 6, 2016. The provider is doing business as Santiam Medical Associates.

Where is Santiam Memorial Hospital located?

Santiam Memorial Hospital is located at 1401 N 10th Ave Ste. 100, Stayton, OR 97383. The listed phone number is (503) 769-6386.

What is Santiam Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Santiam Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0626345) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santiam Memorial Hospital accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Santiam Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Santiam Memorial Hospital was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.