SUSAN WAGNER, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1588775357
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA00685 (OR) |
Frequently Asked Questions
NPI 1588775357 is the National Provider Identifier for SUSAN WAGNER, PA-C, a Physician Assistant - Medical provider located in Beaverton, OR. This NPI was enumerated on August 31, 2006.
SUSAN WAGNER, PA-C practices at 4855 SW WESTERN AVE, Beaverton, OR 97005.
Quick Facts
- NPI
- 1588775357
- Type
- Individual
- Enumerated
- Aug 31, 2006
- Last Updated
- Jul 11, 2007
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