Organization
WATERFALL CLINIC, INCORPORATED
Active
Parent organization
WATERFALL CLINIC, INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERFALL CLINIC, INCORPORATED
Authorized official
ANDREA TRENNER (CEO)
(541) 435-7000
Entity
Organization
Contact information
Practice address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 435-7033
Mailing address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 435-7033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
06/11/2019
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