Organization · Type 2 NPI

Northwest Medical Foundation of Tillamook

Rural Health Clinic/Center · Banks, OR

NPI number 1043740616 Active

Practice location

12350 NW Main St Ste 112
Banks, OR 97106-9045

Call (503) 842-4444 Map

Fax (503) 815-2330

Mailing address

PO Box 888860
Los Angeles, CA 90088-8860

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed
Critical Access Hospital	282NC0060X	141177 (OR)

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1043740616
Entity type: Organization (Type 2)
Issued: Jun 15, 2017
Last updated: Jan 14, 2022
Status: Active
Subpart: Yes of Northwest Medical Foundation of Tillamook

Other names

<unavail>
Adventist Health Tillamook Medical Group - Banks · doing business as

Authorized official

Micah Smith
Fo
(503) 815-2263

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043740616

Northwest Medical Foundation of Tillamook's National Provider Identifier is 1043740616, issued on Jun 15, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Banks, OR. The record was last updated on Jan 14, 2022.