| Organization Name: | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| NPI Number: | 1154699379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER A LARSON (VICE PRESIDENT FINANCE) |
| Mailing Address: | 10445 Neah-kah-nie Cr Rd Manzanita |
| State: | OR US |
| Postal Code: | 97130 |
| Phone Number: | 5038424444 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2011 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 141177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |