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1356410625
TAMARA L WAGNER
PORTLAND, OR
NPI
1356410625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD26710)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
TAMARA L WAGNER MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5700
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Mailing Address
TAMARA L WAGNER MD
8310 SW APPLE WAY APT D202
PORTLAND, OR 97225-1793
Phone number:
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