Organization · Type 2 NPI
Waterfall Clinic Incorporated
Federally Qualified Health Center (FQHC) · Coos Bay, OR
NPI number
1669067369
Active
Practice location
465 Elrod Ave
Coos Bay, OR 97420
Fax (541) 756-6234
Mailing address
1890 Waite Street, Suite 1
North Bend, OR 97459-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1669067369
Waterfall Clinic Incorporated's National Provider Identifier is 1669067369, issued on Mar 4, 2021. 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 Mar 4, 2021.