Healthcare Provider Details

I. General information

NPI: 1659203776
Provider Name (Legal Business Name): COUNTY OF TILLAMOOK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 8TH ST
TILLAMOOK OR
97141-3904
US

IV. Provider business mailing address

PO BOX 489
TILLAMOOK OR
97141-0489
US

V. Phone/Fax

Practice location:
  • Phone: 503-842-3943
  • Fax: 503-842-3983
Mailing address:
  • Phone: 503-842-3943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ROCKIE PHILLIPS
Title or Position: PUBLIC HEALTH DEPUTY DIRECTOR
Credential:
Phone: 503-842-3931