DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ERICA S WALDAU D.M.D.

MEDICARE: DR. ERICA S WALDAU D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD8714OR

General Provider Information

NPI Number : 1457432213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERICA S WALDAU D.M.D.
Provider Business Mailing Address
First Line : 1314 NW IRVING ST
Second Line : #706
City : PORTLAND
State : OR
Zip : 97209-2721
Country : US
Telephone Number : 503-243-7955
Fax Number :
Provider Business Practice Location Address
First Line : 12710 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97236-3134
Country : US
Telephone Number : 503-988-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1538773155 — MAMIE NZIGIRE ZAGABE
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-5558
Practice Fax: 503-988-5810
1447298260 — MARY E MEADOWS MD
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-3601
Practice Fax:
1306851191 — MULTNOMAH COUNTY OREGON
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-3608
Practice Fax: 503-988-4345
1508879677 — DR. STEPHANIE ANN MCANDREW MD
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-3601
Practice Fax:
1033219746 — DR. ALYSSA T FRANZEN DMD
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-3410
Practice Fax:
1508947102 — DR. MICHELLE C. KEYS DMD
Practice Location Address:
12710 SE DIVISION ST
PORTLAND, OR
97236-3134
Practice Phone: 503-988-3410
Practice Fax: 503-988-5903

Directions to “ DR. ERICA S WALDAU D.M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.