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THE WALDORF CENTER FOR PLASTIC SURGERY
NPI 1689797169
Clinic/Center - Health Service in Portland, OR

Active since April 09, 2007
12400 NW CORNELL RD STE 200, PORTLAND, OR 97229(503) 646-0101(503) 350-1420 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About The Waldorf Center For Plastic Surgery NPPES

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

THE WALDORF CENTER FOR PLASTIC SURGERY (NPI 1689797169) is a healthcare organization registered as a health service in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Kathleen A Waldorf, President, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1689797169
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTHE WALDORF CENTER FOR PLASTIC SURGERY
Location Address12400 NW CORNELL RD STE 200Portland, OR 97229-5689
Mailing Address12400 Nw Cornell Rd Ste 200Portland, OR 97229-5689 · (503) 646-0101 · Fax (503) 350-1420
Phone(503) 646-0101
Fax(503) 350-1420
Organization SubpartNo
Authorized OfficialKathleen A WaldorfPresident, Owner, Physician · (503) 646-0101
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1689797169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
12400 NW CORNELL RD STE 200, Portland, OR 97229
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Other Identifiers 1

Medicaid060207OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. JOHN ZDOR DPT
Physical Therapist
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 643-1737
MS. COLLEEN D PHILLIPS PA-C
Physician Assistant (Surgical)
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 646-0101
DR. ERICA C DELGADO MD
Internal Medicine
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 352-0211
CORNELL FAMILY MEDICINE
Clinic/Center (Primary Care)
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 352-0211

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 The Waldorf Center For Plastic Surgery's NPI number?

The NPI number for The Waldorf Center For Plastic Surgery is 1689797169. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is The Waldorf Center For Plastic Surgery located?

The Waldorf Center For Plastic Surgery is located at 12400 NW Cornell Rd Ste 200, Portland, OR 97229. The listed phone number is (503) 646-0101.

What is The Waldorf Center For Plastic Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does The Waldorf Center For Plastic Surgery accept?

Health plans from Providence Health Plan list The Waldorf Center For Plastic Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Waldorf Center For Plastic Surgery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.