STEPHEN C WAGNER

PORTLAND, OR
NPI1942533633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  3929)
Enumeration Date2009-09-11
Last Update Date2009-09-11
Business Address
Dr. STEPHEN C WAGNER D.C.
5802 SE POWELL BLVD
PORTLAND, OR 97206-2826
Phone number: 503-774-3778
Mailing Address
Dr. STEPHEN C WAGNER D.C.
5802 SE POWELL BLVD
PORTLAND, OR 97206-2826
Phone number: 503-774-3778