| Waterfall Clinic Incorporated | |
|
1885 Waite Street North Bend OR 97459 | |
| (541) 756-6232 | |
| Not Available |
| Full Name | Waterfall Clinic Incorporated |
|---|---|
| Speciality | Dentist |
| Location | 1885 Waite Street, North Bend, Oregon |
| Authorized Official Name and Position | Andrea Trenner (CEO) |
| Authorized Official Contact | 5417566232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterfall Clinic Incorporated 1890 Waite Street Suite 1 North Bend OR 97459 Ph: (541) 756-6232 | Waterfall Clinic Incorporated 1885 Waite Street North Bend OR 97459 Ph: (541) 756-6232 |
| NPI Number | 1700522489 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Medicare PECOS PAC ID | 5698740355 |
|---|---|
| Medicare Enrollment ID | O20230525001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700522489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2157 Broadway St, North Bend, OR 97459 Phone: 541-751-1915 | |
R Scott Roberts Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 3500 Cedar St, North Bend, OR 97459 Phone: 541-756-0558 Fax: 541-756-1974 | |
Darin G O'bryan Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Waite St, North Bend, OR 97459 Phone: 541-756-1117 Fax: 541-756-3811 | |
Above Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2070 Virginia Avenue, 2070 Virginia Avenue, North Bend, OR 97459 Phone: 541-756-7568 Fax: 541-756-0760 |