Benjamin Wagner, MD - Portland, OR

Benjamin Wagner, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1205531266

Benjamin Wagner is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Benjamin Wagner practices in Portland, OR and has the professional credentials of MD. The NPI Number for Benjamin Wagner is 1205531266 and holds a License No. (Oregon).

The current practice location address for Benjamin Wagner is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 530-494-8211.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098

NPI Number

1205531266

Provider Name

Benjamin Wagner

Credential

Provider Entity Type

Individual

Gender

Male

Address

3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098

Phone Number

530-494-8211

Fax Number

Provider Enumeration Date

03/31/2023

Last Update Date

03/10/2024

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3098

Phone Number

530-494-8211

Fax Number

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3098

Phone Number

530-494-8211

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

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Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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