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Organization

NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

Active
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Other names
Adventist Health Medical Office - Sheridan
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Authorized official
MR. MICAH SMITH (FINANCE OFFICER)
(503) 815-2263
Entity
Organization

Contact information

Practice address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 842-4444
Mailing address
PO BOX 888860, LOS ANGELES, CA 90088-8860

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005533
OR
Enumeration date
04/01/2019
Last updated
01/14/2022
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