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WATERFALL CLINIC, INCORPORATED
NPI 1619673704
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Active since February 01, 2023
1300 N BAYSHORE DRIVE, SUITE 202, COOS BAY, OR 97420(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterfall Clinic, Incorporated NPPES

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

WATERFALL CLINIC, INCORPORATED (NPI 1619673704), doing business as Waterfall Behavorial Health Center, is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since February 2023. The organization lists Teresea Colleen Bratcher, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1619673704
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWATERFALL CLINIC, INCORPORATED
Location Address1300 N BAYSHORE DRIVE, SUITE 202Coos Bay, OR 97420
Mailing Address1890 Waite St Ste 1North Bend, OR 97459-1229 · (541) 435-7022 · Fax (541) 435-7038
Phone(541) 756-6232
Fax(541) 756-6234
Organization SubpartYes
Authorized OfficialTeresea Colleen BratcherFinance Manager · (541) 756-6232
Enumeration DateFebruary 1, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1619673704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1300 N BAYSHORE DRIVE, Coos Bay, OR 97420
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Other Names 1

Doing Business AsWaterfall Behavorial Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 1619673704. It was assigned to this organization in the NPPES registry on February 1, 2023. The provider is doing business as Waterfall Behavorial Health Center.

Where is Waterfall Clinic, Incorporated located?

Waterfall Clinic, Incorporated is located at 1300 N Bayshore Drive Suite 202, Coos Bay, OR 97420. The listed phone number is (541) 756-6232.

What is Waterfall Clinic, Incorporated's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Waterfall Clinic, Incorporated was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.