SAMARITAN PEDIATRICS - CIRCLE BLVD.
NPI 1629247176
Pediatrics in Corvallis, OR

Q: What is Good Samaritan Hospital Corvallis's NPI number?

The NPI number for Good Samaritan Hospital Corvallis is 1629247176. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is doing business as Samaritan Pediatrics - Circle Blvd..

Q: What is Good Samaritan Hospital Corvallis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 28, 2008CLIA 38D0626054 · Waiver

1112 NW CIRCLE BLVD, CORVALLIS, OR 97330(541) 768-1221 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samaritan Pediatrics - Circle Blvd. NPPES

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

SAMARITAN PEDIATRICS - CIRCLE BLVD. (NPI 1629247176) is a healthcare organization registered as a pediatrics in Corvallis, Oregon and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Becky Pape, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629247176

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGOOD SAMARITAN HOSPITAL CORVALLIS

Location Address1112 NW CIRCLE BLVDCorvallis, OR 97330

Mailing Address1112 Nw Circle BlvdCorvallis, OR 97330-1462 · (541) 768-1221

Phone(541) 768-1221

Organization SubpartNo

Authorized OfficialBecky PapeCeo · (541) 768-5009

Enumeration DateFebruary 28, 2008

Last NPPES UpdateJune 5, 2018

✔ NPI 1629247176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1112 NW CIRCLE BLVD, Corvallis, OR 97330

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Other Names 1

Doing Business AsSamaritan Pediatrics - Circle Blvd.

Other Identifiers 1

Medicaid022528OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 38D0626054

Samaritan Pediatrics · Corvallis, OR

Active · expires Dec 31, 2027

CLIA Number38D0626054

Laboratory TypePhysician Office

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorLon Mcquillan

Laboratory Phone(541) 768-6216

Laboratory LocationSamaritan Pediatrics330 NW Elks Drive, Corvallis, OR 97330

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

THIEN CHUONG RICHARD LY MD

Psychiatry & Neurology (Psychiatry)