WATERFALL CLINIC INCORPORATED
NPI 1669067369
Clinic/Center - Federally Qualified Health Center (FQHC) in Coos Bay, OR

Q: What is Waterfall Clinic Incorporated's NPI number?

The NPI number for Waterfall Clinic Incorporated is 1669067369. It was assigned to this organization in the NPPES registry on March 4, 2021.

Q: What is Waterfall Clinic Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 04, 2021

465 ELROD AVE, COOS BAY, OR 97420(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Waterfall Clinic Incorporated NPPES

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

WATERFALL CLINIC INCORPORATED (NPI 1669067369) is a healthcare organization registered as a federally qualified health center (fqhc) in Coos Bay, Oregon and active in the NPI registry since March 2021. The organization lists Andrea Trenner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669067369

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameWATERFALL CLINIC INCORPORATED

Location Address465 ELROD AVECoos Bay, OR 97420

Mailing Address1890 Waite Street, Suite 1North Bend, OR 97459-3409 · (541) 756-6232 · Fax (541) 756-6234

Phone(541) 756-6232

Fax(541) 756-6234

Organization SubpartYesParent: Waterfall Clinic, Incorporated

Authorized OfficialAndrea TrennerCeo · (541) 756-6232

Enumeration DateMarch 4, 2021

NPPES CertifiedFebruary 25, 2021

✔ NPI 1669067369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

465 ELROD AVE, Coos Bay, OR 97420

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

EMMA KINROSS

Speech-Language Pathologist

465 ELROD AVE
COOS BAY, OR 97420

Coos County (541) 751-7948

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 1669067369. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Waterfall Clinic Incorporated located?

Waterfall Clinic Incorporated is located at 465 Elrod Ave, 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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Waterfall Clinic Incorporated accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Waterfall Clinic Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waterfall Clinic Incorporated was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.