The Waldorf Center For Plastic Surgery

LBN: The Waldorf Center For Plastic Surgery
The Waldorf Center For Plastic Surgery is an health care organization with primary practice located at 12400 Nw Cornell Rd Ste 200 , Portland OR 97229-5689. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. The Waldorf Center For Plastic Surgery can be contacted via phone (503) 646-0101, or through Waldorf, Kathleen A via phone (503) 646-0101.

Contact Information

Primary practice address
12400 Nw Cornell Rd Ste 200 Portland OR 97229-5689
Phone: (503) 646-0101
Fax: (503) 350-1420
Website:
Map and Directions
Authorized official contact:
Name: Waldorf, Kathleen A Doctor of Medicine (MD)
Phone: (503) 646-0101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X Oregon

Profile Details

NPI number 1689797169
LBN Legal business name The Waldorf Center For Plastic Surgery
DBA Doing business as
Authorized official Waldorf, Kathleen A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689797169 NPPES
Oregon MEDICAID 060207

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