Waterfall Clinic, Incorporated

NPI 1508133299 - Clinic/Center - 261QF0400X

NPI Details
NPI 1508133299
Enumeration Date 11/23/2011
Last Updated 07/28/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATHRYN A KATHRYN
Position CEO
Phone (541) 756-6232
Fax (541) 756-6234
Practice Location
826 S 11TH ST
COOS BAY OR, 97420, US
Phone (541) 756-6232
Fax (541) 756-6234
Business Location
1890 WAITE ST
STE 1
NORTH BEND OR, 97459-1229, US
Phone (541) 756-6232
Fax (541) 756-6234
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
Remove 1508133299 NPI Number
 

According to our database, Waterfall Clinic, Incorporated NPI is 1508133299, taxonomy code is 261QF0400X Waterfall Clinic, Incorporated physically located at 826 S 11th St, Coos Bay OR, 97420. NPI Number 1033115704 has the healthcare provider type.

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1508133299 NPI number is provided on an as is basis without warranty of any kind. 1508133299 is maintained by the National Plan & Provider Enumeration System. The contents of Waterfall Clinic, Incorporated are for informational purposes only.