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Contact Information

KATHLEEN A WALDORF, MD
9775 SW WILSHIRE ST
SUITE 200
PORTLAND, OR97225
 Phone: 503-646-0101
 Fax: 503-350-1420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KATHLEEN A WALDORF · (Female)

NPI Number 1902995194
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 03/12/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD16987
  • OR Other 93-111-8189 TAX IDENTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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