Waterfall Clinic, Incorporated

NPI #1003445032 in North Bend, Oregon

Provider Information

NPI Number
1003445032
Entity Type
Organization
Organization Name
Waterfall Clinic, Incorporated
Subpart
Yes (part of a larger organization)
Parent Organization
WATERFALL CLINIC, INCORPORATED
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 2, 2020
Last Updated
Apr 2, 2020

Practice Location

Address
1890 WAITE ST STE 1
State
Oregon
ZIP Code
97459-1229
Phone
(541) 756-6232

Authorized Official

Name
ANDREA TRENNER
Title
CEO
Phone
(541) 756-6232

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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