Tillamook Specialist Associates, LLC

NPI #1154443646 in Tillamook, Oregon

Provider Information

NPI Number: 1154443646
Entity Type: Organization
Organization Name: Tillamook Specialist Associates, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TILLAMOOK MEDICAL ASSOCIATES
Primary Specialty: General Practice
Enumeration Date: Apr 4, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 980 3RD ST
Address 2: SUITE 500
City: Tillamook
State: Oregon
ZIP Code: 97141-9469
Phone: (503) 842-5546

Authorized Official

Name: MR. SID RITTENBACH
Title: ADMINISTRATOR
Phone: (503) 842-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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