Waterfall Clinic Incorporated
NPI #1851892509 in North Bend, Oregon
Provider Information
- NPI Number
- 1851892509
- Entity Type
- Organization
- Organization Name
- Waterfall Clinic Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WATERFALL CLINIC INCORPORATED
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Jan 13, 2019
Practice Location
- Address
- 1890 WAITE ST STE 1
- City
- North Bend
- 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 |
|---|
| Counselor - Mental Health — Mental Health |
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