Name: | Audrey Wagner |
Specialization: | Ambulatory Care |
Gender: | Female |
Location: | 727 W Burnside St, Portland, Oregon, 97209-3514 |
Phone: | 503-228-4533 |
NPI Number: | 1992161491 |
NPI Enumeration Date: | 13 Jan, 2016 |
NPI Last Update On: | 13 Jan, 2016 |
Specialization | License Number | State | Status | |
Ambulatory Care | RPH0013676 | Oregon | Primary |
Address: | 232 Nw 6th Ave, Portland, Oregon |
Zip: | 97209-3609 |
Phone Number: | 503-294-1681 |
Fax Number: | -- |