Organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Active
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Other names
Tillamook Medical Group Long Prairie Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Authorized official
MR. WALTER A LARSON (VICE PRESIDENT FINANCE)
(503) 815-2263
Entity
Organization
Contact information
Practice address
5995 LONG PRAIRIE RD, TILLAMOOK, OR 97141-9689
(503) 842-2561
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
141177
OR
Other
Enumeration date
10/09/2015
Last updated
04/08/2016
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