NPI 1003445032
Waterfall Clinic, Incorporated
Practice location
- Address
- 1890 Waite St STE 1, North Bend, OR 97459-1229
- Phone
- (541) 756-6232
Authorised official
- Name
- Andrea Trenner
- Title
- Ceo
- Phone
- (541) 756-6232
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1003445032
- Entity type
- Organization
- NPI issued
- 2 Apr 2020
- Record last updated
- 2 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.