institution
The Waldorf Center For Plastic Surgery
Health Service Clinic/Center in Portland, Oregon
NPI 1689797169

The Waldorf Center For Plastic Surgery is a Health Service Clinic/Center based in Portland, OR and is specialized in Health Service. The Waldorf Center For Plastic Surgery practices in Portland, OR. The NPI Number for The Waldorf Center For Plastic Surgery is 1689797169 and holds a License No. (Oregon).

The current practice location address for The Waldorf Center For Plastic Surgery is 12400 Nw Cornell Rd Ste 200, Portland, OR and can be reached out via phone at 503-646-0101 and via fax at 503-350-1420. You can also correspond with The Waldorf Center For Plastic Surgery through the mailing address at 12400 NW CORNELL RD STE 200, PORTLAND, OR - 97229-5689 (mailing address contact number: 503-646-0101).

Location: 12400 Nw Cornell Rd Ste 200, Portland, OR, 97229-5689
institution
Provider Profile Details
NPI Number
1689797169
Provider Name
The Waldorf Center For Plastic Surgery
Credential
Provider Entity Type
Organization
Address
12400 Nw Cornell Rd Ste 200, Portland, OR, 97229-5689
Phone Number
503-646-0101
Fax Number
503-350-1420
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060207 05 OR
institution
Provider Business Practice Location Address Details
Address
12400 Nw Cornell Rd Ste 200
City
State
Zip
97229-5689
Phone Number
503-646-0101
Fax Number
503-350-1420
person
Provider Business Mailing Address Details
Address
12400 Nw Cornell Rd Ste 200
City
State
Zip
97229-5689
Phone Number
503-646-0101
Fax Number
503-350-1420
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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