Tillamook Specialist Associates, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TILLAMOOK SPECIALIST ASSOCIATES, LLC

Practice address

980 3Rd St
Suite 500
Tillamook, OR 97141-9469

Phone

(503) 842-5546

Fax

(503) 842-1444

NPI assigned

Apr 4, 2007

Organization subpart

Yes

Parent organization

TILLAMOOK MEDICAL ASSOCIATESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sid Rittenbach

Title

Administrator

Phone

(503) 842-5546

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Tillamook Medical Assoc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tillamook Medical Associates PC

  • Specialist
  • Tillamook, OR
  • NPI 1346227402
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Gerken, M.D.

  • Obstetrics & Gynecology Physician
  • Tillamook, OR
  • NPI 1881629715
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1154443646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 500",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 500",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK SPECIALIST ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TILLAMOOK MEDICAL ASSOCIATES",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "RITTENBACH",
        "authorized_official_first_name": "SID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-842-5546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213035",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tillamook Family Counseling Center
• Tillamook Kidney Center LLC
• Tillamook Medical Associates Lab
• Tillamook Medical Associates PC
• Tillamook Optometric Clinic
• Tillamook Speech Language Learning Center
• Debra M Torres, PMHNP
• Trask River Therapy LLC
• Jennifer L Travis, QMHP
• Benjamin J Turman

• General Practice Physician in Tillamook, OR
• Providers in Tillamook, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.