Brendan Gordon Tennefoss
WATERFALL CLINIC INCORPORATED


Address: 826 S 11th St, Coos Bay, OR 97420-1328
Phone: 5412671495

Brendan Gordon Tennefoss (NPI# 1528571130, PAC ID# 4880951391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1528571130
PAC ID by PECOS 4880951391
Professional Enrollment ID I20171207002046
Full Name Brendan Gordon Tennefoss
Organization Legal Name WATERFALL CLINIC INCORPORATED
Address 826 S 11th St
Coos Bay
OR 97420-1328
Phone Number 5412671495
Gender M
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5698740355
Number of Group Practice Members 7
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380090 BAY AREA HOSPITAL

Other Locations

Address Phone Organization
826 S 11th St, Coos Bay, OR 97420-1328 5412671495 WATERFALL CLINIC INCORPORATED
1890 Waite St, Suite 1, North Bend, OR 97459-1229 5414357033 WATERFALL CLINIC INCORPORATED

Organization Information

Organization Legal Name WATERFALL CLINIC INCORPORATED
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Ronald M St Jean Clinical Social Worker Waterfall Clinic Incorporated 1950 Waite St, North Bend, OR 97459-1228
Shirley D Reynolds Nurse Practitioner Waterfall Clinic Incorporated 1890 Waite St, Suite 1, North Bend, OR 97459-1229
Shu-wen Cheng Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328
Pernilla Johansson Clinical Social Worker Waterfall Clinic Incorporated 1890 Waite St, North Bend, OR 97459-1229
Denise J Gontiz Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328
David W Walker Nurse Practitioner Waterfall Clinic Incorporated 1890 Waite St, North Bend, OR 97459-1229
Pei J Purdom Nurse Practitioner Waterfall Clinic Incorporated 1890 Waite St, Suite 1, North Bend, OR 97459-1229
Yvonne L Fenrich Nurse Practitioner Waterfall Clinic Incorporated 1890 Waite St, Suite 1, North Bend, OR 97459-1229
Toyin A Akanni Nurse Practitioner Waterfall Clinic Incorporated 1890 Waite St, North Bend, OR 97459-1229
Michael Huck Clinical Social Worker Waterfall Clinic Incorporated 1890 Waite St, Suite 1, North Bend, OR 97459-1229

Office Location

Street Address 826 S 11TH ST
City COOS BAY
State OR
Zip 97420-1328

Physicians in the same location

Name Specialty Organization Address
Shu-wen Cheng Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328
Denise J Gontiz Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328
Debra Sue Guzman Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328
Emily E Scotland Nurse Practitioner Waterfall Clinic Incorporated 826 S 11th St, Coos Bay, OR 97420-1328

Physicians in the same zip code

Name Specialty Organization Address
Abby L Stauss Chiropractic Dianna Loudenbeck Dc PC 576 Donnelly Ave, Coos Bay, OR 97420-1555
Dianna L Loudenbeck Chiropractic Dianna Loudenbeck Dc PC 576 Donnelly Ave, Coos Bay, OR 97420-1555
Edward L Lanway Chiropractic 632 Anderson Ave, Coos Bay, OR 97420-1632
Patricia B Gates Optometry 986 Central Ave, Coos Bay, OR 97420-1736
Mirian W Groenendaal Physical Therapy Starting Line Physical Therapy 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040
Paul S Koh Undefined Physician Type (specify) Peacehealth 1975 Thompson Rd, Suite F, Coos Bay, OR 97420-2040
Juliette L Hyatt Physical Therapy Starting Line Physical Therapy 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040
Matthew R Trojan Cardiovascular Disease (cardiology) Peacehealth 1975 Thompson Rd, Suite F, Coos Bay, OR 97420-2040
Ashok Venkataraman Cardiac Surgery Peacehealth 1975 Thompson Rd, Suite F, Coos Bay, OR 97420-2040
Annalissa Martins Physical Therapy Starting Line Physical Therapy 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040
Find all physicians in zip 97420

Competitor

Search similar physicians

City COOS BAY
Zip Code 97420
Specialty NURSE PRACTITIONER
City + Specialty COOS BAY + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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