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

DR. MARK BASTIAN WAGNER, M.D.

Active

DR. MARK BASTIAN WAGNER, M.D. is a Orthopaedic Surgery healthcare provider located in TIGARD, Oregon. NPI 1891710869 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · TIGARD, OR

Registration Details

NPI Number
1891710869
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.089821592222 yrs)
Last Updated
Apr 7, 2015
Licenses
MD26810 (OR)
MD26810 (OR)

Practice Information

Address
15755 SW SEQUOIA PKWY
SUITE 200
TIGARD, OR, 972247166
Browse OR providers · Browse ZIP 97224
Phone
5036396002
Fax
5036391403
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in TIGARD, OR

Name Credential NPI
DR. SCOTT ROBERTS GREWE MD 1013919919
DR. GREGORY W. IRVINE MD 1467454181
DR. ROBERT JOSEPH WILSON MD 1457353179
WALTER ALDINE SMITH JR. MD 1972695146
DR. CHRISTOPHER J NANSON MD 1386717882
DR. BRIAN L PUSKAS MD 1053586016
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.