Organization
TILLAMOOK FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK HANNA-WILLIAMS (DIRECTOR)
(503) 842-8201
Entity
Organization
Contact information
Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183822
—
OR
05
—
197749
—
OR
Enumeration date
08/05/2006
Last updated
10/03/2007
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