DR. KATHLEEN ANNE WALDORF MD
NPI 1902995194
Plastic Surgery in Portland, OR

Q: What is Kathleen Waldorf's NPI number?

The NPI number for Kathleen Waldorf is 1902995194. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kathleen Waldorf's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Waldorf was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 12, 2006PECOS Enrolled

9775 SW WILSHIRE ST, SUITE 200, PORTLAND, OR 97225(503) 646-0101(503) 350-1420 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathleen Anne Waldorf Md NPPES

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

DR. KATHLEEN ANNE WALDORF MD (NPI 1902995194) is an individual plastic surgery provider in Portland, Oregon, licensed in Oregon (MD16987) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902995194

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. KATHLEEN ANNE WALDORFCredential: MD

Location Address9775 SW WILSHIRE ST, SUITE 200Portland, OR 97225

Mailing Address9775 Sw Wilshire St., Suite 200Portland, OR 97225 · (503) 646-0101 · Fax (503) 350-1420

Phone(503) 646-0101

Fax(503) 350-1420

Sole ProprietorYes

Enumeration DateOctober 12, 2006

Last NPPES UpdateMarch 12, 2013

✔ NPI 1902995194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in OR · MD16987

Definition

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 both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSpecialistTaxonomy 174400000X · License MD16987 (OR)

9775 SW WILSHIRE ST, Portland, OR 97225

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Other Identifiers 1

Other93-111-8189OR · Tax Identification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Anne Waldorf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. RACHEL E STREU M.D

Surgery (Plastic and Reconstructive Surgery)

9775 SW WILSHIRE ST, SUITE 200
PORTLAND, OR 97225

Washington County (503) 646-0101

WILSHIRE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

9775 SW WILSHIRE ST, SUITE 250
PORTLAND, OR 97225

Washington County (503) 688-5187

ERIN MONTGOMERY PA-C

Physician Assistant (Surgical)

9775 SW WILSHIRE ST, SUITE 200
PORTLAND, OR 97225

Washington County (503) 646-0101

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 Kathleen Waldorf's NPI number?

The NPI number for Kathleen Waldorf is 1902995194. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kathleen Waldorf located?

Kathleen Waldorf practices at 9775 SW Wilshire St Suite 200, Portland, OR 97225. The listed phone number is (503) 646-0101.

What is Kathleen Waldorf's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kathleen Waldorf enrolled in Medicare?

Yes. Kathleen Waldorf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Waldorf was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.