Organization · Type 2 NPI

Waterfall Clinic Incorporated

Federally Qualified Health Center (FQHC) · Powers, OR

NPI number 1609151810 Active

Practice location

400 Fir Ave
Powers, OR 97466

Call (541) 756-6232 Map

Fax (541) 756-6234

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

NPI record

NPI: 1609151810
Entity type: Organization (Type 2)
Issued: Oct 19, 2011
Last updated: Feb 26, 2018
Status: Active

Other names

<unavail>
Waterfall Community Health Center · doing business as
Waterfall Community Health Center · doing business as

Authorized official

Andrea Trenner
CEO
(541) 756-6232

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609151810

Waterfall Clinic Incorporated's National Provider Identifier is 1609151810, issued on Oct 19, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Powers, OR. The record was last updated on Feb 26, 2018.