The Waldorf Center For Plastic Surgery in Portland - Health Service

The Waldorf Center For Plastic Surgery - NPI 1689797169

The Waldorf Center For Plastic Surgery is a Health Service in Portland, Oregon. The Waldorf Center For Plastic Surgery practices all healthcare services and medical treatments related to Health Service. The NPI Number for The Waldorf Center For Plastic Surgery is 1689797169. The last update date is 2022-07-21.

The Waldorf Center For Plastic Surgery's current location address is 12400 Nw Cornell Rd Ste 200, Portland, Oregon. You can contact this provider via phone number 5036460101 and fax number 5033501420. The mailing address for The Waldorf Center For Plastic Surgery is 12400 Nw Cornell Rd Ste 200, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Waldorf Center For Plastic Surgery
Address 12400 Nw Cornell Rd Ste 200, Portland, Oregon
Phone Number 5036460101
Fax Number 5033501420
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT,
Authorized Official Name Waldorf A Kathleen
Credentials MD
Telephone Number 5036460101

NPI Number Detail

NPI Number 1689797169
Provider Enumeration Date 2007-04-09
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 12400 Nw Cornell Rd Ste 200
City Portland
State Oregon (OR)
Post Code 972295689
Phone Number 5036460101
Fax Number 5033501420

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 261Qh0100X
Definition:
Provides general outpatient medical care by physicians and other providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60207 OR --

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FAQs about The Waldorf Center For Plastic Surgery

What is the The Waldorf Center For Plastic Surgery's unique identification number?

The The Waldorf Center For Plastic Surgery has been assigned the NPI (National Provider Identifier) Number 1689797169 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 street address where The Waldorf Center For Plastic Surgery is physically located?

The The Waldorf Center For Plastic Surgery is physically situated at the following address: 12400 Nw Cornell Rd Ste 200, Portland, OR, 972295689.

What is The Waldorf Center For Plastic Surgery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for The Waldorf Center For Plastic Surgery is Health Service, and the taxonomy code that categorizes this field of expertise is 261Qh0100X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689797169 to The Waldorf Center For Plastic Surgery?

The Centers for Medicare & Medicaid Services assigned the 1689797169 to The Waldorf Center For Plastic Surgery on 2007-04-09.

When was the The Waldorf Center For Plastic Surgery's information last updated?

The The Waldorf Center For Plastic Surgery's information was last updated on 2022-07-21.

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