Tillamook County Health Department - Dental Clinic | |
805 Ivy Ave Ste B Tillamook OR 97141-3758 | |
(503) 842-3900 | |
Not Available |
Full Name | Tillamook County Health Department - Dental Clinic |
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Speciality | Dentist - Dental Public Health |
Location | 805 Ivy Ave Ste B, 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 - Dental Clinic Po Box 489 Tillamook OR 97141-0489 Ph: (503) 842-3900 | Tillamook County Health Department - Dental Clinic 805 Ivy Ave Ste B Tillamook OR 97141-3758 Ph: (503) 842-3900 |
NPI Number | 1417568668 |
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Provider Enumeration Date | 08/12/2020 |
Last Update Date | 09/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417568668 | NPI | - | NPPES |
128756 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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