Waterfall Clinic, Incorporated

NPI #1437654779 in North Bend, Oregon

Provider Information

NPI Number
1437654779
Entity Type
Organization
Organization Name
Waterfall Clinic, Incorporated
Subpart
Yes (part of a larger organization)
Parent Organization
WATERFALL CLINIC, INCORPORATED
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 28, 2018
Last Updated
Jun 11, 2019

Practice Location

Address
1890 WAITE ST STE 1
State
Oregon
ZIP Code
97459-1229
Phone
(541) 435-7033

Authorized Official

Name
ANDREA TRENNER
Title
CEO
Phone
(541) 435-7000

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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