Organization · Type 2 NPI

Samaritan Pacific Health Services, Inc.

Rural Health Clinic/Center · Waldport, OR

NPI number 1619047503 Active

Practice location

920 SW Range Drive
Waldport, OR 97394-3035

Call (541) 563-3197 Map

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Dean Kao, PA-CMedical Physician Assistant Waldport, OR NPI 1528170503

NPI record

NPI: 1619047503
Entity type: Organization (Type 2)
Issued: Nov 8, 2006
Last updated: Nov 3, 2025
Status: Active

Other names

<unavail>
Samaritan Health Clinic - Waldport · doing business as
Samaritan Waldport Clinic · doing business as

Authorized official

Mr. Lesley Ogden, MD
CEO
(541) 996-7100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619047503

Samaritan Pacific Health Services, Inc.'s National Provider Identifier is 1619047503, issued on Nov 8, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Waldport, OR. The record was last updated on Nov 3, 2025.