| NPI | 1699146159 |
|---|---|
| Doing Business As | TILLAMOOK MEDICAL GROUP LONG PRAIRIE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | WALTER A LARSON Vice President Finance 503-815-2263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: OR 141177) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-04-08 |