Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CATHERINE Y.H. WAGONER, MD
ActivePediatrics · CLACKAMAS, OR
Registration Details
- NPI Number
- 1487627550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2006 (20.256991243579 yrs)
- Last Updated
- Mar 25, 2021
- Licenses
-
9839 (NV)MD171324 (OR)
Practice Information
- Address
-
9290 SE SUNNYBROOK BLVD STE 120CLACKAMAS, OR, 970156802Browse OR providers · Browse ZIP 97015
- Phone
- 5032152110
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ALICE KING | MD | 1194788752 |
| JEFFREY STEPHEN LIEBO | M.D. | 1831132414 |
| BASSAM GEORGE HADEED | MD | 1457397176 |
| TROY CHRISTOPHER STOEBER | MD | 1508802232 |
| RUPA KIRIT SHAH | MD | 1568408292 |
| MARY KATHRYN BROWN | MD | 1073559704 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.