Organization · Type 2 NPI

Northwest Medical Foundation of Tillamook

Critical Access Hospital · Tillamook, OR

NPI number 1699146159 Active

Practice location

5995 Long Prairie Rd
Tillamook, OR 97141-9689

Call (503) 842-2561 Map

Mailing address

1000 3rd St
Tillamook, OR 97141-3430

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Primary	282NC0060X	141177 (OR)

Critical Access Hospital: Definition to come.

Another provider at this address

County of TillamookPrison Health Clinic/Center Tillamook, OR NPI 1891173407

Other critical access hospital providers in Tillamook

See all in Tillamook →

NPI record

NPI: 1699146159
Entity type: Organization (Type 2)
Issued: Oct 9, 2015
Last updated: Apr 8, 2016
Status: Active
Subpart: Yes of Northwest Medical Foundation of Tillamook

Other names

<unavail>
Tillamook Medical Group Long Prairie Primary Care · doing business as

Authorized official

Mr. Walter A Larson
Vice President Finance
(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 1699146159

Northwest Medical Foundation of Tillamook's National Provider Identifier is 1699146159, issued on Oct 9, 2015. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Tillamook, OR. The record was last updated on Apr 8, 2016.