Organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Active
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Other names
Adventist Health Manzanita Rehab Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Authorized official
MICAH SMITH (FO)
(503) 815-2263
Entity
Organization
Contact information
Practice address
36155 9TH ST, ROOM 4, NEHALEM, OR 97131-8000
(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
141177
OR
Other
Enumeration date
05/21/2013
Last updated
01/14/2022
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