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1649405671
BRADY WAYNE WAGNER
VANCOUVER, WA
NPI
1649405671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD60292835)
Enumeration Date
2009-05-19
Last Update Date
2022-02-04
Business Address
-- BRADY WAYNE WAGNER M.D.
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1000
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Mailing Address
-- BRADY WAYNE WAGNER M.D.
12815 SW RITA DR
BEAVERTON, OR 97005-0720
Phone number: 503-806-0647
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