Organization Name: | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
NPI Number: | 1568808285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER A LARSON (VICE PRESIDENT FINANCE) |
Mailing Address: | 36155 9th St Room 4 Nehalem |
State: | OR US |
Postal Code: | 971318000 |
Phone Number: | 5038424444 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 09/12/2014 |
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: |