ROSE WAGGONER

SHERWOOD, OR
NPI1598854960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  084058952N1)
Enumeration Date2006-10-12
Last Update Date2021-07-01
Business Address
ROSE WAGGONER FNP
16770 SW EDY RD
SHERWOOD, OR 97140-9678
Phone number: 503-216-9600
Mailing Address
ROSE WAGGONER FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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