SearchOregonGeneral Practice Dentistry

Robert Wagner, D.M.D

NPI 1164599700 · on the registry since 2006 · sole proprietor

Practice

Address
2803 Ne Everett St
Portland, OR 97232
Phone
(503) 239-5115
Fax
(503) 231-6480
Organisation at this address
Wagner Family Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon