Organization
COUNTY OF TILLAMOOK
Active
Parent organization
COUNTY OF TILLAMOOK
Other names
Tillamook County Health Department - Rockaway Beach Clinic, Tillamook County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TILLAMOOK
Authorized official
MS. MARLENE L PUTMAN JD (ADMINISTRATOR)
(503) 842-3900
Entity
Organization
Contact information
Practice address
276 S HIGHWAY 101, ROCKAWAY BEACH, OR 97136-1015
(503) 355-2700
(503) 355-2702
Mailing address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MD11776
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116488
NORIDIAN
OR
05
—
128756
—
OR
Enumeration date
07/07/2008
Last updated
11/13/2020
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