MARINA ALYSSA WAGNER

PORTLAND, OR
NPI1073190773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO218072)
Enumeration Date2021-03-27
Last Update Date2025-06-17
Business Address
MARINA ALYSSA WAGNER DO
2647 NE 33RD AVE
PORTLAND, OR 97212-3647
Phone number: 503-288-0083
Mailing Address
MARINA ALYSSA WAGNER DO
PO BOX 1648
EUGENE, OR 97440-1648
Phone number: 541-242-4384