{"npi":"1508849407","type":"NPI-2","status":"active","name":{"display":"Northwest Medical Foundation Of Tillamook","other":[],"organization_name":"NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK","authorised_official":"Micah Smith"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"282NC0060X","description":"Critical Access Hospital","primary":false,"state":"OR","license":"290305"},{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":"OR","license":"290305"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 3RD ST","city":"TILLAMOOK","state":"OR","postal_code":"971413430","country_code":"US","phone":"5038424444","fax":"5038152330"},{"purpose":"MAILING","street_1":"PO BOX 888860","city":"LOS ANGELES","state":"CA","postal_code":"900888860","country_code":"US","phone":"5038152116","fax":"5038157589"}],"license":{"state":"OR","number":"290305"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"9534405","state":"WA","issuer":null},{"type_code":"05","label":"Medicaid","value":"194340","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-23","last_updated":"2022-02-09","_meta":{"source":"NPPES","snapshot_date":"2022-02-09","doc_url":"https://findmynpi.com/api"}}