Frederick T Waller MD PC
Frederick T Waller MD PC provides Neurological Surgery Physician services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9155 SW Barnes Rd Ste 211Portland, OR 97225-6629
Phone: (503) 520-1260
Fax: (503) 469-9176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence MD08927 (OR) |
|---|
Record details
| NPI number | 1639374440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lauri Dayton — Office Manager · (503) 292-7398 |
| NPI enumerated | June 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9155 Sw Barnes Rd Ste 211, Portland, OR 97225-6629 |
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