COUNTY OF TILLAMOOK

NPI # 

Practice Address:

276 S Highway 101

Rockaway Beach, OR, 97136-1015

Practice Phone:

503-355-2700

Practice Fax:

503-355-2702

License Number:

MD11776

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X