Individual provider · Type 1 NPI

Kathleen Anne Waldorf, MD

Plastic Surgery Physician · Portland, OR

NPI number 1902995194 Active

Practice location

9775 SW Wilshire St, Suite 200
Portland, OR 97225

Fax (503) 350-1420

Mailing address

9775 SW Wilshire St., Suite 200
Portland, OR 97225

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XMD16987 (OR)
Plastic Surgery Physician Primary 208200000XMD16987 (OR)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1902995194

Kathleen Anne Waldorf, MD's National Provider Identifier is 1902995194, issued on Oct 12, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Portland, OR. The record was last updated on Mar 12, 2013.