NPIMap

Organization Active NPI

Northwest Medical Foundation of Tillamook

Doing business as Adventist Health Occupational Medicine

  • Critical Access Hospital
  • Tillamook, OR
National Provider Identifier
1881071645
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
141177 Issued in OR
Legal business name
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
Doing business as
Adventist Health Occupational Medicine
Practice address
980 3Rd St
Suite 100
Tillamook, OR 97141-9469
Phone
(503) 815-6424
NPI assigned
Apr 30, 2015
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mr. Micah Smith
Title
Cfo/ Director of Finance
Phone
(503) 815-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 141177 OR Primary

Addresses

Primary practice location

980 3Rd St
Suite 100
Tillamook, OR 97141-9469

Mailing address

1000 3Rd St
Tillamook, OR 97141-3430

Other names 1

  • Adventist Health Occupational Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

National Provider Directory

National Provider Directory
Tax ID family
Tillamook Cnty Gen Hosp7 organizations share this tax ID, including this one
Part of
Tillamook Cnty Gen Hosp

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

980 3rd St
Ste 100
Tillamook, OR 97141
Phone (503) 815-6424

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1881071645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 100",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-815-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "CFO/ DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "503-815-2263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OR",
            "license": "141177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "980 3rd St",
            "address_2": "Suite 100",
            "city": "Tillamook",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971419469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adventist Health Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.