Tillamook County Health Department - Mobile Clinic | |
1925 Suppress Rd N Tillamook OR 97141-9296 | |
(503) 842-3900 | |
(503) 842-3903 |
Full Name | Tillamook County Health Department - Mobile Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1925 Suppress Rd N, Tillamook, Oregon |
Authorized Official Name and Position | Marlene L Putman (ADMINISTRATOR) |
Authorized Official Contact | 5038423922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tillamook County Health Department - Mobile Clinic Po Box 489 Tillamook OR 97141-0489 Ph: (503) 842-3900 | Tillamook County Health Department - Mobile Clinic 1925 Suppress Rd N Tillamook OR 97141-9296 Ph: (503) 842-3900 |
NPI Number | 1427603968 |
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Provider Enumeration Date | 08/01/2019 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427603968 | NPI | - | NPPES |
128756 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Tillamook County Health Department - Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Ivy Ave Ste B, Tillamook, OR 97141 Phone: 503-842-3900 | |
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Tillamook County Health Department Dental Clinic Medicare: Medicare Enrolled Practice Location: 801 Pacific Ave, Tillamook, OR 97141 Phone: 503-842-3900 |