Waterfall Clinic Incorporated
NPI 1669067369 · Federally Qualified Health Center (FQHC) · Coos Bay, OR
Waterfall Clinic Incorporated is a Federally Qualified Health Center (FQHC) organization in Coos Bay, OR (NPI 1669067369).
Provider details
- NPI number
- 1669067369
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Waterfall Clinic, Incorporated
- Organization subpart
- Yes
- Authorized official
- Andrea Trenner, Ceo(541) 756-6232
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2021-03-04
- Certified
- 2021-02-25
Frequently asked questions
- What is Waterfall Clinic Incorporated's NPI number?
- Waterfall Clinic Incorporated's National Provider Identifier (NPI) is 1669067369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterfall Clinic Incorporated?
- Waterfall Clinic Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Waterfall Clinic Incorporated located?
- Waterfall Clinic Incorporated's practice location on file with NPPES is 465 Elrod Ave, Coos Bay, OR 97420.
- What is Waterfall Clinic Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Waterfall Clinic Incorporated is (541) 756-6232.
- Who is the authorized official for Waterfall Clinic Incorporated?
- The authorized official listed on Waterfall Clinic Incorporated's NPPES record is Andrea Trenner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterfall Clinic Incorporated's NPI active?
- Yes — Waterfall Clinic Incorporated's NPI (1669067369) is active in the NPPES registry as of the last update on 2021-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.