Search › Oregon › 1223G0001X
Ken Waddell, D.M.D
NPI 1134239155 · on the registry since 2006
Practice
- Address
- 15495 Sw Sequoia Pkwy
Suite 120
Portland, OR 97224 - Phone
- (503) 684-8445
- Organisation at this address
- Ken W. Waddell, Dmd P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon