MARINA ALYSSA WAGNER

TIGARD, OR
NPI1073190773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO218072)
Enumeration Date2021-03-27
Last Update Date2026-01-21
Business Address
MARINA ALYSSA WAGNER DO
12442 SW SCHOLLS FERRY RD STE 206
TIGARD, OR 97223-0804
Phone number: 503-216-9200
Mailing Address
MARINA ALYSSA WAGNER DO
12442 SW SCHOLLS FERRY RD STE 206
TIGARD, OR 97223-0804
Phone number: 503-216-9200