Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick T Waller MD PC

Organization Neurological Surgery Physician · NPI 1639374440

Frederick T Waller MD PC is a Neurological Surgery Physician 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.

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Practice location Address checks out

9155 SW Barnes Rd Ste 211
Portland, 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 number1639374440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauri Dayton — Office Manager · (503) 292-7398
NPI enumeratedJune 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9155 Sw Barnes Rd Ste 211, Portland, OR 97225-6629

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