Organization
TILLAMOOK MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SID RITTENBACH (ADMINISTRATOR)
(503) 842-5546
Entity
Organization
Contact information
Practice address
980 3RD ST, SUITE 200, TILLAMOOK, OR 97141-9469
(503) 842-5546
(503) 842-1444
Mailing address
980 3RD ST, SUITE 200, TILLAMOOK, OR 97141-9469
(503) 842-5546
(503) 842-1444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117023
—
OR
Enumeration date
12/29/2005
Last updated
09/20/2007
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