Organization
WATERFALL CLINIC, INCORPORATED
Active
Parent organization
WATERFALL CLINIC, INCORPORATED
Other names
Waterfall Behavorial Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERFALL CLINIC, INCORPORATED
Authorized official
TERESEA COLLEEN BRATCHER (FINANCE MANAGER)
(541) 756-6232
Entity
Organization
Contact information
Practice address
1300 N BAYSHORE DRIVE, SUITE 202, COOS BAY, OR 97420
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 435-7022
(541) 435-7038
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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