Organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Active
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Other names
Adventist Health Tillamook Medical Group - Banks
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Authorized official
MICAH SMITH (FO)
(503) 815-2263
Entity
Organization
Contact information
Practice address
12350 NW MAIN ST STE 112, BANKS, OR 97106-9045
(503) 842-4444
(503) 815-2330
Mailing address
PO BOX 888860, LOS ANGELES, CA 90088-8860
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
141177
OR
Other
Enumeration date
06/15/2017
Last updated
01/14/2022
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