NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK (NPI# 1043740616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043740616 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Other Organization Name | ADVENTIST HEALTH TILLAMOOK MEDICAL GROUP - BANKS |
| Practice Address |
12350 Nw Main St Ste 112 Banks OR 97106-9045 |
| Mailing Address |
1000 3rd St Tillamook OR 97141-3430 |
| Practice Telephone | 5038424444 |
| Practice Fax Number | 5038152330 |
| Mailing Telephone | 5038152461 |
| Mailing Fax Number | 5038152330 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | GINA F SEUFERT (VP, PHYSICIAN & CLINIC SERVICES) |
| Authorized Official Telephone | 5038152414 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
141177 | OR | Hospitals |
| Other Name | Type Code |
|---|---|
| Adventist Health Tillamook Medical Group - Banks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| 1053873919 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 222 Se Jefferson St, Sheridan, OR 97378-1924 | 2019-04-01 |
| 1861944894 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 24461 E Welches Rd, Welches, OR 97067-7067 | 2016-10-25 |
| 1699146159 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-10-09 |
| 1881071645 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 980 3rd St, Suite 100, Tillamook, OR 97141-9469 | 2015-04-30 |
| 1578961835 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2014-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | 1000 3rd St, Tillamook, OR 97141 |
| Street Address |
12350 NW MAIN ST STE 112 |
| City | BANKS |
| State | OR |
| Zip Code | 97106-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972970093 | Albert Phan | Family Medicine | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2015-08-24 |
| 1326511239 | Julia Martin Wenger | Nurse Practitioner | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487060562 | Kasey Webber | Specialist | 909 Sw 18th Ave, Portland, OR 97106 | 2014-07-09 |
| 1053558239 | Crystal Stachera | Marriage & Family Therapist | 42355 Nw Oak Way # 672, Banks, OR 97106-6021 | 2009-01-09 |
| 1346782125 | Heidi Brogdon | Massage Therapist | 12860 Nw Jarvis Pl Apt 4, Banks, OR 97106-6059 | 2016-11-10 |
| 1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
| 1003365990 | Aurora Wickstrom | Speech-Language Pathologist | 41320 Nw Lodge Rd, Banks, OR 97106-7136 | 2016-10-03 |
| 1306396403 | Alexa Heilbrun | Respiratory Therapist, Certified | 18475 Nw North Star Dr, Banks, OR 97106-7235 | 2016-10-12 |
| 1245494947 | John Patrick Archer | Chiropractor | 40020 Nw Banks Rd, Banks, OR 97106-8500 | 2008-07-11 |
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1598905150 | Lynnette Irene Hofler | Registered Nurse | 50700 Nw Cedar Canyon Rd, Banks, OR 97106-8816 | 2009-02-23 |
| 1376819615 | Emily Elizabeth Tarleton | Specialist | 45319 Nw Hartwick Rd, Banks, OR 97106-8854 | 2012-03-30 |
| Find all providers in zip 97106 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.