Frederick T Waller Md Pc in Portland - Neurological Surgery

Frederick T Waller Md Pc - NPI 1639374440

Frederick T Waller Md Pc is a Neurological Surgery in Portland, Oregon. Frederick T Waller Md Pc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Frederick T Waller Md Pc is 1639374440. The last update date is 2020-08-22.

Frederick T Waller Md Pc's current location address is 9155 Sw Barnes Rd Ste 211, Portland, Oregon. You can contact this provider via phone number 5035201260 and fax number 5034699176. The mailing address for Frederick T Waller Md Pc is 9155 Sw Barnes Rd Ste 211, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Frederick T Waller Md Pc
Address 9155 Sw Barnes Rd Ste 211, Portland, Oregon
Phone Number 5035201260
Fax Number 5034699176
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Dayton A Lauri
Telephone Number 5032927398

NPI Number Detail

NPI Number 1639374440
Provider Enumeration Date 2007-06-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 9155 Sw Barnes Rd Ste 211
City Portland
State Oregon (OR)
Post Code 972256629
Phone Number 5035201260
Fax Number 5034699176

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No MD08927
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

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FAQs about Frederick T Waller Md Pc

What is the unique provider identifier assigned to Frederick T Waller Md Pc?

The Frederick T Waller Md Pc has been issued the NPI (National Provider Identifier) 1639374440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Frederick T Waller Md Pc is geographically located?

The Frederick T Waller Md Pc is physically situated at the following location: 9155 Sw Barnes Rd Ste 211, Portland, OR, 972256629.

What is the Frederick T Waller Md Pc's specialty and taxonomy code?

The Frederick T Waller Md Pc's specialty is Neurological Surgery, and the corresponding taxonomy code is 207T00000X.

On what date did the Frederick T Waller Md Pc receive the assignment of its 1639374440 from the Centers for Medicare & Medicaid Services?

The Frederick T Waller Md Pc was issued its 1639374440 by the Centers for Medicare & Medicaid Services on 2007-06-20.

As of what date were the details related to Frederick T Waller Md Pc most recently updated or revised?

The information pertaining to Frederick T Waller Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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