Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DALE WAGNER, M.D.
ActiveDR. MATTHEW DALE WAGNER, M.D. is a Urology healthcare provider located in CLACKAMAS, Oregon. NPI 1487869996 is currently active in the NPPES registry. Verify at CMS.
Urology · CLACKAMAS, OR
Registration Details
- NPI Number
- 1487869996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.302579519397 yrs)
- Last Updated
- Sep 8, 2025
- Licenses
-
MD60003290 (WA)LL16353 (OR)MD28198 (OR)
Practice Information
- Address
-
9900 SE SUNNYSIDE RDCLACKAMAS, OR, 970159777Browse OR providers · Browse ZIP 97015
- Phone
- 8008132000
- Fax
- 8555245255
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
- Additional Specialty
- Urology
Other Urology Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| MATTHEW FORSYTH | MD | 1598778060 |
| DR. DOUGLAS ARMSTRONG ACKERMAN | M.D. | 1174636344 |
| PARAMJIT SINGH CHANDHOKE | M.D. | 1568578029 |
| DR. JEFFREY EATON JOHNSON | M.D. | 1659487692 |
| DR. STEPHEN FARRELL LIEBERMAN | M.D. | 1841306925 |
| DR. RICHARD A BURT | MD | 1881791457 |
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.