TILLAMOOK COUNTY HEALTH DEPARTMENT
NPI 1184887523
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockaway Beach, OR

Active since July 07, 2008CLIA 38D0623015 · Waiver
276 S HIGHWAY 101, ROCKAWAY BEACH, OR 97136(503) 355-2700(503) 355-2702 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tillamook County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILLAMOOK COUNTY HEALTH DEPARTMENT (NPI 1184887523) is a healthcare organization registered as a federally qualified health center (fqhc) in Rockaway Beach, Oregon and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Marlene L Putman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184887523
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOUNTY OF TILLAMOOK
Location Address276 S HIGHWAY 101Rockaway Beach, OR 97136-1015
Mailing Address801 Pacific AveTillamook, OR 97141-3926 · (503) 842-3900
Fax(503) 355-2702
Organization SubpartYes
Authorized OfficialMarlene L PutmanAdministrator · (503) 842-3900
Enumeration DateJuly 7, 2008
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1184887523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in OR · MD11776
276 S HIGHWAY 101, Rockaway Beach, OR 97136

Other Names 2

Doing Business AsTillamook County Health Department
Doing Business AsTillamook County Health Department - Rockaway Beach Clinic

Other Identifiers 2

Medicaid128756OR
Other116488OR · Noridian

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tillamook County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Tillamook County Health Department, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Mental Health Counselor
NPI 1528738911
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS12 mi
Family Practice
NPI 1699069617
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS12 mi
Family Practice
NPI 1629021712
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS12 mi
Clinical Social Worker
NPI 1699165449
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS12 mi
Nurse Practitioner
NPI 1598723918
171 N LARCH ST STE 16
Cannon Beach, OR 97110
(503) 717-7402
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1700857174
1200 MIRA MAR AVE
Medford, OR 97504
(541) 664-5151
✔ PECOS235 mi
Marriage and Family Therapist
NPI 1598212680
265 NEVADA ST
Auburn, CA 95603
(480) 603-7499
✔ PECOS485 mi
Dermatology
NPI 1922032077
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 579-4239
✔ PECOS499 mi
Nurse Practitioner
NPI 1932644267
3611 CARA DR
Springdale, MD 20774
(240) 462-5485
✔ PECOS2,422 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0623015

Tillamook County Health Department Main Street Health Center · Tillamook, OR
Active · expires Jun 30, 2027
CLIA Number38D0623015
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorMelissa Paulissen
Laboratory Phone(503) 842-3900
Laboratory LocationTillamook County Health Department Main Street Health Center800 Main Ave, Tillamook, OR 97141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Tillamook's NPI number?

The NPI number for County Of Tillamook is 1184887523. It was assigned to this organization in the NPPES registry on July 7, 2008. The provider is doing business as Tillamook County Health Department and Tillamook County Health Department - Rockaway Beach Clinic.

Where is County Of Tillamook located?

County Of Tillamook is located at 276 S Highway 101, Rockaway Beach, OR 97136. The listed phone number is (503) 355-2700.

What is County Of Tillamook's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is County Of Tillamook enrolled in Medicare?

Yes. County Of Tillamook is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Tillamook?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to County Of Tillamook. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (2) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does County Of Tillamook hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0623015) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Tillamook was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.