Organization · Type 2 NPI

Frederick T Waller MD PC

Neurological Surgery Physician · Portland, OR

NPI number 1639374440 Active

Practice location

9155 SW Barnes Rd Ste 211
Portland, OR 97225-6629

Fax (503) 469-9176

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XMD08927 (OR)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1639374440

Frederick T Waller MD PC's National Provider Identifier is 1639374440, issued on Jun 20, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.