| Tillamook Specialist Associates, Llc | |
|
980 3rd St Suite 500 Tillamook OR 97141-9469 | |
| (503) 842-5546 | |
| (503) 842-1444 |
| Full Name | Tillamook Specialist Associates, Llc |
|---|---|
| Speciality | General Practice |
| Location | 980 3rd St, Tillamook, Oregon |
| Authorized Official Name and Position | Sid Rittenbach (ADMINISTRATOR) |
| Authorized Official Contact | 5038425546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tillamook Specialist Associates, Llc 980 3rd St Suite 500 Tillamook OR 97141-9469 Ph: (503) 842-5546 | Tillamook Specialist Associates, Llc 980 3rd St Suite 500 Tillamook OR 97141-9469 Ph: (503) 842-5546 |
| NPI Number | 1154443646 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154443646 | NPI | - | NPPES |
| 213035 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Oregon) | Primary |
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