FREDERICK T WALLER MD PC
NPI 1639374440
Neurological Surgery in Portland, OR

Active since June 20, 2007
9155 SW BARNES RD STE 211, PORTLAND, OR 97225(503) 520-1260(503) 469-9176 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick T Waller Md Pc NPPES

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

FREDERICK T WALLER MD PC (NPI 1639374440) is a healthcare organization registered as a neurological surgery in Portland, Oregon and active in the NPI registry since June 2007. The organization lists Lauri A Dayton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639374440
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameFREDERICK T WALLER MD PC
Location Address9155 SW BARNES RD STE 211Portland, OR 97225-6629
Mailing Address9155 Sw Barnes Rd Ste 211Portland, OR 97225-6629 · (503) 520-1260 · Fax (503) 469-9176
Fax(503) 469-9176
Organization SubpartNo
Authorized OfficialLauri A DaytonOffice Manager · (503) 292-7398
Enumeration DateJune 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1639374440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OR · MD08927
Definition
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 operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
9155 SW BARNES RD STE 211, Portland, OR 97225

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Frederick T Waller MD PC's NPI number?

The NPI number for Frederick T Waller MD PC is 1639374440. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Frederick T Waller MD PC located?

Frederick T Waller MD PC is located at 9155 SW Barnes Rd Ste 211, Portland, OR 97225. The listed phone number is (503) 520-1260.

What is Frederick T Waller MD PC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Frederick T Waller MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.