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WATERFALL CLINIC, INCORPORATED
NPI 1437654779
Community/Behavioral Health in North Bend, OR

Active since March 28, 2018
1890 WAITE ST STE 1, NORTH BEND, OR 97459(541) 435-7033 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Mar 28, 2018 (3 updates tracked since 2018).

About Waterfall Clinic, Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFALL CLINIC, INCORPORATED (NPI 1437654779) is a healthcare organization registered as a community/behavioral health in North Bend, Oregon and active in the NPI registry since March 2018. The organization lists Andrea Trenner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437654779
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWATERFALL CLINIC, INCORPORATED
Location Address1890 WAITE ST STE 1North Bend, OR 97459-1229
Mailing Address1890 Waite St Ste 1North Bend, OR 97459-1229 · (541) 435-7033
Phone(541) 435-7033
Organization SubpartYes
Authorized OfficialAndrea TrennerCeo · (541) 435-7000
Enumeration DateMarch 28, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1437654779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1890 WAITE ST STE 1, North Bend, OR 97459
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLY JEAN SQUIRE-HAMBLET MSOTR/L
Occupational Therapist
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
WATERFALL CLINIC, INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
JENNIFER LYNN HOLLING
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
HEATHER ELIZABETH MALCOMB BROOKS
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
HANNAH R KIRK
Behavior Technician
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
TAYLOR CLAFLIN
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
MRS. EMMA C DAVIS MSN, WHNP-BC, APRN
Nurse Practitioner (Women's Health)
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
JODY K TOLMAN
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterfall Clinic, Incorporated's NPI number?

The NPI number for Waterfall Clinic, Incorporated is 1437654779. It was assigned to this organization in the NPPES registry on March 28, 2018.

Where is Waterfall Clinic, Incorporated located?

Waterfall Clinic, Incorporated is located at 1890 Waite St Ste 1, North Bend, OR 97459. The listed phone number is (541) 435-7033.

What is Waterfall Clinic, Incorporated's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Waterfall Clinic, Incorporated was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.