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1134239155
KEN WAYNE WADDELL
PORTLAND, OR
NPI
1134239155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D5796)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. KEN WAYNE WADDELL D.M.D.
15495 SW SEQUOIA PKWY SUITE 120
PORTLAND, OR 97224-6100
Phone number: 503-684-8445
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Mailing Address
Dr. KEN WAYNE WADDELL D.M.D.
15495 SW SEQUOIA PKWY SUITE 120
PORTLAND, OR 97224-6100
Phone number: 503-684-8445
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