| NPI | 1427603968 |
|---|---|
| Doing Business As | TILLAMOOK COUNTY HEALTH DEPARTMENT - MOBILE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARLENE L PUTMAN Administrator 503-842-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-09-23 |