SUSAN E WAGNER

BEAVERTON, OR
NPI1588775357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA00685)
Enumeration Date2006-08-31
Last Update Date2007-07-11
Business Address
-- SUSAN E WAGNER PA-C
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-643-7565
Mailing Address
-- SUSAN E WAGNER PA-C
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-643-7565
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