| Northwest Medical Foundation Of Tillamook | |
|
12350 Nw Main St Ste 112 Banks OR 97106-9045 | |
| (503) 842-4444 | |
| (503) 815-2330 |
| Full Name | Northwest Medical Foundation Of Tillamook |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 12350 Nw Main St Ste 112, Banks, Oregon |
| Authorized Official Name and Position | Micah Smith (FO) |
| Authorized Official Contact | 5038152263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical Foundation Of Tillamook Po Box 888860 Los Angeles CA 90088-8860 Ph: () - | Northwest Medical Foundation Of Tillamook 12350 Nw Main St Ste 112 Banks OR 97106-9045 Ph: (503) 842-4444 |
| NPI Number | 1043740616 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043740616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 141177 (Oregon) | Secondary |