Waterfall Clinic Incorporated
NPI 1700522489ActiveOrganization· Dentist, General Practice· North Bend, OR
Dentist, General Practice in North Bend, Oregon, registered in NPPES in May 2022. The authorized official on file is Andrea Trenner, Ceo. Enrolled in Medicare as part a provider - federally qualified health center (fqhc).
Overview
| NPI | 1700522489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2022 |
| Last updated in NPPES | May 6, 2022 |
| Certified by provider | May 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (OR) |
|---|
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