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TILLAMOOK COUNTY HEALTH DEPARTMENT - CLOVERDALE CLINIC
NPI 1730341975
Clinic/Center - Federally Qualified Health Center (FQHC) in Cloverdale, OR

Active since June 30, 2008
34325 HIGHWAY 101 S, CLOVERDALE, OR 97112(503) 842-3900(503) 842-3903 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2019, Jun 13, 2019 (2 updates tracked since 2019).

About Tillamook County Health Department - Cloverdale Clinic NPPES

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

TILLAMOOK COUNTY HEALTH DEPARTMENT - CLOVERDALE CLINIC (NPI 1730341975) is a healthcare organization registered as a federally qualified health center (fqhc) in Cloverdale, Oregon and active in the NPI registry since June 2008. The organization lists Marlene L Putman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730341975
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOUNTY OF TILLAMOOK
Location Address34325 HIGHWAY 101 SCloverdale, OR 97112-9400
Mailing AddressPo Box 489Tillamook, OR 97141-0489 · (503) 842-3900 · Fax (503) 842-3903
Phone(503) 842-3900
Fax(503) 842-3903
Organization SubpartNo
Authorized OfficialMarlene L PutmanAdministrator · (503) 842-3900
Enumeration DateJune 30, 2008
Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration
✔ NPI 1730341975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X
34325 HIGHWAY 101 S, Cloverdale, OR 97112
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Other Names 1

Doing Business AsTillamook County Health Department - Cloverdale Clinic

Other Identifiers 2

Medicaid128756OR
Other116488OR · Noridian

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 - Cloverdale Clinic 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 - Cloverdale Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Danell Boggs
Clinical Social Worker
NPI 1699165449
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS17 mi
Esther Bradeen, PCA
Mental Health Counselor
NPI 1528738911
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS17 mi
Melissa Paulissen, M.D.
Family Practice
NPI 1699069617
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS17 mi
Lisa Steffey, DO
Family Practice
NPI 1629021712
801 PACIFIC AVE
Tillamook, OR 97141
(503) 842-3900
✔ PECOS17 mi
Christopher Craft, FNP-BC
Nurse Practitioner
NPI 1598723918
171 N LARCH ST STE 16
Cannon Beach, OR 97110
(503) 717-7402
✔ PECOS✔ Accepts Medicare48 mi
Jon Prulhiere, MD
Family Practice
NPI 1700857174
1200 MIRA MAR AVE
Medford, OR 97504
(541) 664-5151
✔ PECOS207 mi
Michelle Walters, LICENSED MFT
Marriage and Family Therapist
NPI 1598212680
265 NEVADA ST
Auburn, CA 95603
(480) 603-7499
✔ PECOS458 mi
Dale Westrom, M.D., PH.D.
Dermatology
NPI 1922032077
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 579-4239
✔ PECOS471 mi
Moronke Aboyewa, CRNP-PMH
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.

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 1730341975. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as Tillamook County Health Department - Cloverdale Clinic.

Where is County Of Tillamook located?

County Of Tillamook is located at 34325 Highway 101 S, Cloverdale, OR 97112. The listed phone number is (503) 842-3900.

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.

When was this NPI record last updated?

The NPPES record for County Of Tillamook was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.