person
Dr. Jeffrey David Wagner, DNP,ARNP
Family Nurse Practitioner in Portland, Oregon
NPI 1023552114

Jeffrey David Wagner is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Jeffrey David Wagner practices in Portland, OR and has the professional credentials of DNP,ARNP. The NPI Number for Jeffrey David Wagner is 1023552114 and holds a License No. 201801605NP-PP (Oregon).

The current practice location address for Jeffrey David Wagner is 3303 Sw Bond Ave, Portland, OR and can be reached out via phone at 503-418-9400 and via fax at 503-418-9401.

Location: 3303 Sw Bond Ave, Portland, OR, 97239-4501
person
Provider Profile Details
NPI Number
1023552114
Provider Name
Jeffrey David Wagner
Credential
DNP,ARNP
Provider Entity Type
Individual
Gender
Male
Address
3303 Sw Bond Ave, Portland, OR, 97239-4501
Phone Number
503-418-9400
Fax Number
503-418-9401
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3303 Sw Bond Ave
City
State
Zip
97239
Phone Number
503-418-9400
Fax Number
503-418-9401
person
Provider Business Mailing Address Details
Address
3303 Sw Bond Ave
City
State
Zip
97239
Phone Number
503-418-9400
Fax Number
503-418-9401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201801605NP-PP (Oregon)
Definition
Definition to come...
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