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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDERICK T WALLER MD PC

Active Organization

FREDERICK T WALLER MD PC is a Neurological Surgery organization located in PORTLAND, Oregon. NPI 1639374440 is currently active in the NPPES registry. Verify at CMS.

Neurological Surgery · PORTLAND, OR

Registration Details

NPI Number
1639374440
Provider Type
Organization
NPI Issued
Jun 20, 2007 (19.160924140458 yrs)
Last Updated
Aug 22, 2020
License
MD08927 (OR)

Practice Information

Address
9155 SW BARNES RD STE 211
PORTLAND, OR, 972256629
Browse OR providers · Browse ZIP 97225
Phone
5035201260
Fax
5034699176
Primary Specialty
Neurological Surgery
207T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.