OrganizationActive
Frederick T Waller MD PC
NPI 1639374440 · Neurological Surgery Physician · Portland, OR
Provider details
- NPI number
- 1639374440
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lauri Dayton, Office Manager(503) 292-7398
- License
- MD08927 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9155 Sw Barnes Rd Ste 211
Portland, OR 97225-6629
Phone: (503) 520-1260
Fax: (503) 469-9176
Street-level locationGet directions
Mailing address
9155 Sw Barnes Rd Ste 211
Portland, OR 97225-6629
Registry dates
- Enumerated
- 2007-06-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.