WATERFALL CLINIC INCORPORATED NPI 1619915113

NPI Information

WATERFALL CLINIC INCORPORATED is a federally qualified health center (fqhc) clinic center in North Bend, OR. WATERFALL CLINIC INCORPORATED NPI is 1619915113. The provider is registered as an organization entity type.
The provider Is Doing Business As Waterfall Community Health Center.

The provider's business location address is:

1890 WAITE ST
SUITE 1
NORTH BEND, OR
ZIP 97459-229
Phone: (541) 756-6232
Fax: (541) 756-6234

The provider's authorized official is Andrea Trenner .
The authorized official title is Executive Director/ceo and has the following contact phone number (541) 756-6232.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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