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Dr. Mark Bastian Wagner, MD
Orthopedic Surgery Physician in Tigard, Oregon
NPI 1891710869

Mark Bastian Wagner is a Orthopedic Surgery Physician based in Tigard, OR. Mark Bastian Wagner practices in Tigard, OR and has the professional credentials of MD. The NPI Number for Mark Bastian Wagner is 1891710869 and holds a License No. MD26810 (Oregon).

The current practice location address for Mark Bastian Wagner is 15755 Sw Sequoia Pkwy, Tigard, OR and can be reached out via phone at 503-639-6002 and via fax at 503-639-1403. You can also correspond with Mark Bastian Wagner through the mailing address at 15755 SW SEQUOIA PKWY, TIGARD, OR - 97224-7166 (mailing address contact number: 503-639-6002).

Location: 15755 Sw Sequoia Pkwy, Tigard, OR, 97224-7166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891710869
Provider Name
Mark Bastian Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15755 Sw Sequoia Pkwy, Tigard, OR, 97224-7166
Phone Number
503-639-6002
Fax Number
503-639-1403
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006033 05 OR
93-1280904 01 OR TAX ID
1891710869 01 OR NPI
institution
Provider Business Practice Location Address Details
Address
15755 Sw Sequoia Pkwy
City
Tigard
State
Oregon
Zip
97224-7166
Phone Number
503-639-6002
Fax Number
503-639-1403
person
Provider Business Mailing Address Details
Address
15755 Sw Sequoia Pkwy
City
Tigard
State
Oregon
Zip
97224-7166
Phone Number
503-639-6002
Fax Number
503-639-1403
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD26810 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
MD26810 (Oregon)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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