| Adventist Health/tillamook Medical Group Manzanita Primary & Specialty | |
|
10445 Neah-kah-nie Cr Rd Manzanita OR 97130 | |
| (503) 842-4444 | |
| Not Available |
| Full Name | Adventist Health/tillamook Medical Group Manzanita Primary & Specialty |
|---|---|
| Speciality | Clinic/Center |
| Location | 10445 Neah-kah-nie Cr Rd, Manzanita, Oregon |
| Authorized Official Name and Position | Micah Smith (FO) |
| Authorized Official Contact | 5038152263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health/tillamook Medical Group Manzanita Primary & Specialty Po Box 888860 Los Angeles CA 90088-8860 Ph: (503) 815-2116 | Adventist Health/tillamook Medical Group Manzanita Primary & Specialty 10445 Neah-kah-nie Cr Rd Manzanita OR 97130 Ph: (503) 842-4444 |
| NPI Number | 1154699379 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 5092619569 |
|---|---|
| Medicare Enrollment ID | O20120222000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154699379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 141177 (Oregon) | Secondary |
Weichert Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Laneda Avenue, Manzanita, OR 97130 Phone: 503-369-4393 Fax: 503-368-4395 |