SCOTT EDWARD WAGNON

EUGENE, OR
NPI1407951668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: OR  PA01088)
Enumeration Date2006-09-13
Last Update Date2015-02-01
Business Address
MR. SCOTT EDWARD WAGNON PA-C
2830 CRESCENT AVE
EUGENE, OR 97408-7397
Phone number: 541-686-9000
Mailing Address
MR. SCOTT EDWARD WAGNON PA-C
1655 S. ELM ST. #207
CANBY, OR 97013-3960
Phone number: 503-260-5433