Organization · Type 2 NPI

County of Tillamook

Federally Qualified Health Center (FQHC) · Rockaway Beach, OR

NPI number 1184887523 Active

Practice location

276 S Highway 101
Rockaway Beach, OR 97136-1015

Call (503) 355-2700 Map

Fax (503) 355-2702

Mailing address

801 Pacific Ave
Tillamook, OR 97141-3926

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	MD11776 (OR)

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1184887523
Entity type: Organization (Type 2)
Issued: Jul 7, 2008
Last updated: Nov 13, 2020
Status: Active
Subpart: Yes of County of Tillamook

Other names

<unavail>
Tillamook County Health Department · doing business as
Tillamook County Health Department - Rockaway Beach Clinic · doing business as

Authorized official

Ms. Marlene L Putman, JD
Administrator
(503) 842-3900

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 1184887523

County of Tillamook's National Provider Identifier is 1184887523, issued on Jul 7, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rockaway Beach, OR. The record was last updated on Nov 13, 2020.