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Organization

NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

Active
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Other names
Tillamook Medical Group-Family Practice & Outpatient Therapies
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
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
Mailing address
PO BOX 888860, LOS ANGELES, CA 90088-8860

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
282NC0060X
Critical Access Hospital
141177
OR

Other

Enumeration date
12/18/2014
Last updated
01/14/2022
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