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DR. KEN WAYNE WADDELL D.M.D.
NPI 1134239155
Dentist - General Practice in Portland, OR

Active since August 30, 2006
15495 SW SEQUOIA PKWY, SUITE 120, PORTLAND, OR 97224(503) 684-8445 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ken Wayne Waddell D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEN WAYNE WADDELL D.M.D. (NPI 1134239155) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D5796) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1134239155
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEN WAYNE WADDELLCredential: D.M.D.
Location Address15495 SW SEQUOIA PKWY, SUITE 120Portland, OR 97224-6100
Mailing Address15495 Sw Sequoia Pkwy, Suite 120Portland, OR 97224-6100 · (503) 684-8445
Phone(503) 684-8445
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134239155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D5796
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
15495 SW SEQUOIA PKWY, Portland, OR 97224
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN DARYL BUCKNER L.M.T.
Massage Therapist
15495 SW SEQUOIA PKWY, STE. #150
TIGARD, OR 97224
Washington County (503) 957-0338
KEN W. WADDELL, DMD P.C.
Dentist (General Practice)
15495 SW SEQUOIA PKWY, SUITE 120
PORTLAND, OR 97224
Washington County (503) 684-8445
AT EASE MASSAGE THERAPY, LLC
Mechanotherapist
15495 SW SEQUOIA PKWY, SUITE 150
TIGARD, OR 97224
Washington County (503) 957-0338
DR. DONALD WATSON RIRIE D.D.S.
Dentist (General Practice)
15495 SW SEQUOIA PKWY, SUITE 120
PORTLAND, OR 97224
Washington County (503) 684-8445
MS. ALISSA JOHNSON L.M.T., C.A.
Massage Therapist
15495 SW SEQUOIA PKWY
TIGARD, OR 97224
Washington County (503) 567-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Waddell's NPI number?

The NPI number for Ken Waddell is 1134239155. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ken Waddell located?

Ken Waddell practices at 15495 SW Sequoia Pkwy Suite 120, Portland, OR 97224. The listed phone number is (503) 684-8445.

What is Ken Waddell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ken Waddell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.