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Amanda Ellen Wagner, MD
Obstetrics & Gynecology Physician in Stayton, Oregon
NPI 1235457359

Amanda Ellen Wagner is a Obstetrics & Gynecology Physician based in Stayton, OR. Amanda Ellen Wagner practices in Stayton, OR and has the professional credentials of MD. The NPI Number for Amanda Ellen Wagner is 1235457359 and holds a License No. 43867 (Oregon).

The current practice location address for Amanda Ellen Wagner is 1373 N 10Th Ave, Stayton, OR and can be reached out via phone at 503-769-9522 and via fax at 503-769-9530.

Location: 1373 N 10Th Ave, Stayton, OR, 97383-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235457359
Provider Name
Amanda Ellen Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1373 N 10Th Ave, Stayton, OR, 97383-0577
Phone Number
503-769-9522
Fax Number
503-769-9530
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100131400 05 KY
P00947909 01 KY RR MEDICARE
500822477 05 OR
institution
Provider Business Practice Location Address Details
Address
1373 N 10Th Ave
City
Stayton
State
Oregon
Zip
97383-2037
Phone Number
503-769-9522
Fax Number
503-769-9530
person
Provider Business Mailing Address Details
Address
1373 N 10Th Ave
City
Stayton
State
Oregon
Zip
97383-2037
Phone Number
503-769-9522
Fax Number
503-769-9530
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
43867 (Kentucky)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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