| County Of Tillamook | |
|
276 S Highway 101 Rockaway Beach OR 97136-1015 | |
| (503) 355-2700 | |
| (503) 355-2702 |
| Full Name | County Of Tillamook |
|---|---|
| Speciality | Clinic/Center |
| Location | 276 S Highway 101, Rockaway Beach, Oregon |
| Authorized Official Name and Position | Marlene L Putman (ADMINISTRATOR) |
| Authorized Official Contact | 5038423900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Tillamook 801 Pacific Ave Tillamook OR 97141-3926 Ph: (503) 842-3900 | County Of Tillamook 276 S Highway 101 Rockaway Beach OR 97136-1015 Ph: (503) 355-2700 |
| NPI Number | 1184887523 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 11/13/2020 |
| Medicare PECOS PAC ID | 3173411287 |
|---|---|
| Medicare Enrollment ID | O20100830000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184887523 | NPI | - | NPPES |
| 116488 | Other | OR | NORIDIAN |
| 128756 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | MD11776 (Oregon) | Primary |