Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SARAH C WAGNER, PA-C
ActiveMS. SARAH C WAGNER, PA-C is a Physician Assistant healthcare provider located in MILL CITY, Oregon. NPI 1720174931 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILL CITY, OR
Registration Details
- NPI Number
- 1720174931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.852885707148 yrs)
- Last Updated
- May 18, 2021
- Licenses
-
99 (MT)PA161499 (OR)3110 (AZ)
Practice Information
- Address
-
280 S 1ST AVEMILL CITY, OR, 973602324Browse OR providers · Browse ZIP 97360
- Phone
- 5038974100
- Fax
- 5038972673
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
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.