National Provider Identifier Database

COUNTY OF TILLAMOOK
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COUNTY OF TILLAMOOK
34325 HIGHWAY 101 S
CLOVERDALE, OR97112-9400
Phone: 503-842-3900
Fax: 503-842-3903
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for COUNTY OF TILLAMOOK

NPI Number 1730341975
Legal business name
LBN
COUNTY OF TILLAMOOK
Authorized official MARLENE PUTMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/30/2008
Last updated 07/30/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 128756
  • OR Other: 116488 NORIDIAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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