MATTHEW DALE WAGNER

CLACKAMAS, OR
NPI1487869996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: OR  MD28198)
Additional Taxonomies208800000X Urology
(Licence: WA  MD60003290)
208800000X Urology
(Licence: OR  LL16353)
Enumeration Date2007-05-10
Last Update Date2025-09-08
Business Address
Dr. MATTHEW DALE WAGNER M.D.
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 800-813-2000
Mailing Address
Dr. MATTHEW DALE WAGNER M.D.
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 800-813-2000