1. Home
  2. Directory
  3. Oregon
  4. North Bend
  5. Counselor
  6. NPI Profile

WATERFALL CLINIC INCORPORATED
NPI 1851892509
Counselor - Mental Health in North Bend, OR

Active since February 27, 2018
1890 WAITE ST STE 1, NORTH BEND, OR 97459(541) 435-7033 Get Directions Write a Review

NPPES record last updated: January 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2019, Jun 16, 2018, Feb 27, 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 1851892509) is a healthcare organization registered as a mental health in North Bend, Oregon and active in the NPI registry since February 2018. The organization lists Andrea Trenner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851892509
Entity TypeOrganization
Primary Taxonomy101YM0800X
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 DateFebruary 27, 2018
Last NPPES UpdateJanuary 13, 20193 updates tracked since enumeration
✔ NPI 1851892509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1890 WAITE ST STE 1, North Bend, OR 97459
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1851892509. It was assigned to this organization in the NPPES registry on February 27, 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 Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Waterfall Clinic Incorporated was last updated on January 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.