Organization · Type 2 NPI

Waterfall Clinic, Incorporated

Federally Qualified Health Center (FQHC) · Coos Bay, OR

NPI number 1508133299 Active

Practice location

826 S 11th St
Coos Bay, OR 97420

Fax (541) 756-6234

Mailing address

1890 Waite St, Ste 1
North Bend, OR 97459-1229

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1508133299

Waterfall Clinic, Incorporated's National Provider Identifier is 1508133299, issued on Nov 23, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Coos Bay, OR. The record was last updated on Feb 26, 2018.