Waterfall Clinic Incorporated

NPI #1619915113 in North Bend, Oregon

Provider Information

NPI Number
1619915113
Entity Type
Organization
Organization Name
Waterfall Clinic Incorporated
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 4, 2006
Last Updated
Jun 30, 2017

Practice Location

Address
1890 WAITE ST
Address 2
SUITE 1
State
Oregon
ZIP Code
97459-1229
Phone
(541) 756-6232

Authorized Official

Name
MRS. ANDREA TRENNER
Title
EXECUTIVE DIRECTOR/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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