Organization
TILLAMOOK FAMILY COUNSELING CENTER
Active
Organization
TILLAMOOK FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE VINCENT (OFFICE MANAGER)
(503) 842-8201
Entity
Organization
Contact information
Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183822
—
OR
Enumeration date
05/25/2007
Last updated
10/03/2007
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