BRADY WAYNE WAGNER

VANCOUVER, WA
NPI1649405671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WA  MD60292835)
Enumeration Date2009-05-19
Last Update Date2022-02-04
Business Address
-- BRADY WAYNE WAGNER M.D.
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1000
Mailing Address
-- BRADY WAYNE WAGNER M.D.
12815 SW RITA DR
BEAVERTON, OR 97005-0720
Phone number: 503-806-0647