Graduated: 2021
NPI: 1902260524
Practice Locations (2)
WATERFALL CLINIC INCORPORATED
1890 WAITE ST, SUITE 1
NORTH BEND, OR 974591229
5414357033
THRIVEWORKS CLINICAL - OREGON LLC
9735 SW SHADY LN, SUITE 304
TIGARD, OR 972235481
8552847483
Source: CMS National Downloadable File, September 2026.