# NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tillamook Regional Medical Center, Adventist Health Tillamook
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508849407
- **Authorized official:** MICAH SMITH (FO)
- **Authorized official phone:** (503) 815-2116

## Contact information

- **Practice address:** 1000 3RD ST, TILLAMOOK, OR 97141-3430
- **Practice address phone:** (503) 842-4444
- **Practice address fax:** (503) 815-2330
- **Mailing address:** PO BOX 888860, LOS ANGELES, CA 90088-8860
- **Mailing address phone:** (503) 815-2116
- **Mailing address fax:** (503) 815-7589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 290305 | OR | — |
| 3416L0300X | Land Ambulance | 290305 | OR | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 02/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 194340 | — | OR |
| 05 | — | 9534405 | — | WA |