Organization · Type 2 NPI

Northwest Medical Foundation of Tillamook

Rural Health Clinic/Center · Manzanita, OR

NPI number 1154699379 Active

Practice location

10445 Neah-Kah-Nie Cr Rd
Manzanita, OR 97130

Call (503) 842-4444 Map

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: 1154699379
Entity type: Organization (Type 2)
Issued: Dec 2, 2011
Last updated: Sep 8, 2025
Status: Active
Subpart: Yes of Northwest Medical Foundation of Tillamook

Other names

<unavail>
Adventist Health/tillamook Medical Group Manzanita Primary & Specialty · doing business as
Adventist Health/tillamook Medical Group Manzanita Primary & Specialty · 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.

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About NPI 1154699379

Northwest Medical Foundation of Tillamook's National Provider Identifier is 1154699379, issued on Dec 2, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Manzanita, OR. The record was last updated on Sep 8, 2025.