NPI 1447889480

Waterfall Clinic, Incorporated

Organisation Federally Qualified Health Center (FQHC) North Bend, OR

Practice location

Address: 93670 Viking Ln, North Bend, OR 97459-8623
Phone: (541) 756-6232
Fax: (541) 756-6234
Mailing address: 1890 Waite St STE 1, North Bend, OR 97459-1229

Authorised official

Name: Andrea Trenner
Title: Ceo
Phone: (541) 756-6232

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1447889480
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.