Organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Active
Other names
Adventist Health Tillamook, Tillamook Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH SMITH (CFO/ADMINISTRATIVE DIRECTOR OF FINA)
(503) 815-2263
Entity
Organization
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
(503) 815-2330
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
(503) 815-2330
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
141177
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
TRICARE
OR
01
—
0021657
WASH DEPT OF L & I
WA
05
—
005533
—
OR
01
—
138007000
REGENCE BCBS OREGON
OR
01
—
194212300
US DEPT OF LABOR
KY
05
—
3006400
—
WA
01
—
381317
MEDICARE PTAN
OR
01
—
P037001
PACIFICSOURCE INS CO.
OR
01
—
P057F0
PACC HEALTH PLANS
OR
Enumeration date
11/18/2005
Last updated
09/04/2025
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