DR. MARK WAGNER, M.D.

Orthopaedic Surgery

Active Individual
NPI: 1891710869

Practice Address

15755 SW SEQUOIA PKWY
SUITE 200
Tigard, OR 97224

Phone: (503) 639-6002

Specialties

Specialty Code Primary License
Specialist 174400000X No MD26810 (OR)
Orthopaedic Surgery 207X00000X Yes MD26810 (OR)

Frequently Asked Questions

NPI 1891710869 is the National Provider Identifier for DR. MARK WAGNER, M.D., a Orthopaedic Surgery provider located in Tigard, OR. This NPI was enumerated on July 12, 2006.
DR. MARK WAGNER, M.D. practices at 15755 SW SEQUOIA PKWY, SUITE 200, Tigard, OR 97224.

Quick Facts

NPI
1891710869
Type
Individual
Enumerated
Jul 12, 2006
Last Updated
Apr 7, 2015

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