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KATHRYN WAGNER MD

Individual Provider (NPI-1) Active

Neurological Surgery

Provider Information

NPI Number
1366860009
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3101 SW 13TH AVE APT 19, PORTLAND, OR, 972393071
Phone
(503) 550-2870

Specialties & Taxonomies

Neurological Surgery Primary License: TX #582526

All Addresses

LOCATION

3101 SW 13TH AVE APT 19

PORTLAND, OR, 972393071

(503) 550-2870

MAILING

2900 STATE ST

MEDFORD, OR, 975048458

(541) 779-1672