JEFFREY DAVID WAGNER

PORTLAND, OR
NPI1023552114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201801605NP-PP)
Enumeration Date2016-12-08
Last Update Date2018-09-07
Business Address
Dr. JEFFREY DAVID WAGNER DNP, ARNP
3303 SW BOND AVE
PORTLAND, OR 97239
Phone number: 503-418-9400
Mailing Address
Dr. JEFFREY DAVID WAGNER DNP, ARNP
3303 SW BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-418-9400
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