Ken Wayne Waddell in Portland - General Practice
Ken Wayne Waddell - NPI 1134239155
Ken Wayne Waddell is a General Practice in Portland, Oregon. Ken Wayne Waddell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ken Wayne Waddell is 1134239155. The last update date is 2007-07-08.
Ken Wayne Waddell's current location address is 15495 Sw Sequoia Pkwy, Portland, Oregon. You can contact this provider via phone number 5036848445. The mailing address for Ken Wayne Waddell is 15495 Sw Sequoia Pkwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ken Wayne Waddell |
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Address | 15495 Sw Sequoia Pkwy, Portland, Oregon |
Phone Number | 5036848445 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1134239155 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15495 Sw Sequoia Pkwy |
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City | Portland |
State | Oregon (OR) |
Post Code | 972246100 |
Phone Number | 5036848445 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D5796 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Ken Wayne Waddell's unique identification number?
The Ken Wayne Waddell has been assigned the NPI (National Provider Identifier) Number 1134239155 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ken Wayne Waddell?
The Ken Wayne Waddell is physically situated at 15495 Sw Sequoia Pkwy, in the city of Portland, state of OR, with the postal code 972246100.
What is Ken Wayne Waddell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ken Wayne Waddell's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Ken Wayne Waddell receive its 1134239155 assignment from the Centers for Medicare & Medicaid Services?
The Ken Wayne Waddell was assigned its 1134239155 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Ken Wayne Waddell most recently updated?
The details pertaining to the Ken Wayne Waddell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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