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Rose Waggoner, FNP
Family Nurse Practitioner in Sherwood, Oregon
NPI 1598854960

Rose Waggoner is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Rose Waggoner practices in Sherwood, OR and has the professional credentials of FNP. The NPI Number for Rose Waggoner is 1598854960 and holds a License No. 084058952N1 (Oregon).

The current practice location address for Rose Waggoner is 16770 Sw Edy Rd, Sherwood, OR and can be reached out via phone at 503-216-9600 and via fax at 503-216-9650.

Location: 16770 Sw Edy Rd, Sherwood, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598854960
Provider Name
Rose Waggoner
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
16770 Sw Edy Rd, Sherwood, OR, 97208-3158
Phone Number
503-216-9600
Fax Number
503-216-9650
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084504 05 OR
institution
Provider Business Practice Location Address Details
Address
16770 Sw Edy Rd
City
Sherwood
State
Oregon
Zip
97140-9678
Phone Number
503-216-9600
Fax Number
503-216-9650
person
Provider Business Mailing Address Details
Address
16770 Sw Edy Rd
City
Sherwood
State
Oregon
Zip
97140-9678
Phone Number
503-216-9600
Fax Number
503-216-9650
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
084058952N1 (Oregon)
Definition
Definition to come...
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