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Contact Information

COUNTY OF TILLAMOOK
805 IVY AVE STE B
TILLAMOOK, OR97141-3758
 Phone: 503-842-3900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for COUNTY OF TILLAMOOK

NPI Number 1417568668
LBN Legal business name COUNTY OF TILLAMOOK
Authorized official MARLENE PUTMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/12/2020
Last updated 09/22/2020 - About 6 years ago
Identifiers
OR Medicaid 128756
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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