FREDRICK CHARLES WAGNER

PORTLAND, OR
NPI1609869635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X Radiology, Radiation Oncology
(Licence: OR  MD09972)
Enumeration Date2005-08-24
Last Update Date2007-07-09
Business Address
-- FREDRICK CHARLES WAGNER MD
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2195
Mailing Address
-- FREDRICK CHARLES WAGNER MD
975 SE SANDY BLVD SUITE 200
PORTLAND, OR 97214-1308
Phone number: 503-963-2846
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