Organization
COUNTY OF TILLAMOOK
Active
Other names
Tillamook County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE L PUTMAN JD (ADMINISTRATOR)
(503) 842-3900
Entity
Organization
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
Mailing address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
D9427
OR
251B00000X
Case Management Agency
MD11776
OR
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042924
TARGET CASE MANAGEMENT
OR
01
—
116488
NORIDIAN
OR
05
—
128756
—
OR
Enumeration date
10/02/2006
Last updated
10/20/2020
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