Samaritan Chiropractic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

3838 Issued in OR

Legal business name

SAMARITAN CHIROPRACTIC LLC

Practice address

634 NW 4TH St
Corvallis, OR 97330-6413

Phone

(541) 752-0776

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Elgin Koen Jr., DCNPI 1992960322

Title

Cheif Officer

Phone

(541) 752-0776

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Elgin Koen Jr., D.C.

  • Chiropractor
  • Corvallis, OR
  • NPI 1992960322
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1700148251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306413",
            "telephone_number": "541-752-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306413",
            "telephone_number": "541-752-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "KOEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ELGIN",
        "authorized_official_title_or_position": "CHEIF OFFICER",
        "authorized_official_telephone_number": "541-752-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj Sain, MD
• Don Russell Saleski, RPH
• Karen Salinas, RN
• Rachel Hannah Salmon
• Marydale G Salston, PH.D., LMFT
• Samaritan Dialysis Services LLC (Samaritan Dialysis Services LLC Corvallis Site)
• Samaritan Endoscopy LLC
• Samaritan Health Services
• Samaritan Health Services, Inc.
• Samaritan Heart of the Valley

• Primary Care Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.