NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK (NPI# 1811238322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811238322 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Other Organization Name | ADVENTIST HEALTH BAYSHORE MEDICAL LINCOLN CITY |
| Practice Address |
1105 Se Jetty Ave Lincoln City OR 97367-2632 |
| Mailing Address |
1000 3rd St Tillamook OR 97141-3430 |
| Practice Telephone | 5416140482 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MS. 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 |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
141177 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 005533 | 05 |
| Other Name | Type Code |
|---|---|
| Adventist Health Bayshore Medical Lincoln City | 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 |
| 1043740616 | Northwest Medical Foundation of Tillamook | Clinic/Center | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2017-06-15 |
| 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 |
| 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 |
1105 SE JETTY AVE |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925092 | Lincoln City Immediate Care | Clinic/Center | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2006-06-28 |
| 1790138642 | Crystal Kelso | Dentist | 1105 Se Jetty Ave, #b, Lincoln City, OR 97367-2632 | 2016-07-15 |
| 1982030458 | Jennifer Drayton | Nurse Practitioner | 1105 Se Jetty Ave, Lincoln City, OR 97367-2632 | 2013-09-17 |
| 1336455146 | Brian Craig Handley | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-08-31 |
| 1871819573 | Albert P. Thompson | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-04-20 |
| 1124110036 | James L. Garrett | Dentist | 1105 Se Jetty Ave, B, Lincoln City, OR 97367-2632 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| 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 |
|---|---|---|---|---|
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 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 |
| 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 |
| 1558366229 | Wallowa County Health Care District | General Acute Care Hospital | 601 Medical Parkway, Enterprise, OR 97828-1167 | 2005-06-17 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.