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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN E WAGNER, PA-C

Active

SUSAN E WAGNER, PA-C is a Medical Physician Assistant healthcare provider located in BEAVERTON, Oregon. NPI 1588775357 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BEAVERTON, OR

Registration Details

NPI Number
1588775357
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.922519699036 yrs)
Last Updated
Jul 11, 2007
License
PA00685 (OR)

Practice Information

Address
4855 SW WESTERN AVE
BEAVERTON, OR, 970053460
Browse OR providers · Browse ZIP 97005
Phone
5036437565
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BEAVERTON, OR

Name Credential NPI
MS. ROBYN LYNN TRIEBOLD PA-C 1194838896
MR. JEAN-LUC LOUIS GUSTIN PA 1083727507
MRS. CAROLYN JEAN LAVIOLETTE P.A.-C. 1891805511
SALMA FARIS PA-C 1346438504
MICHIKO OISHI PA-C 1568714517
MRS. ROBYN TRASEN MS, PA-C 1902236474
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.