SearchWashington225X00000X

Mary Ann Wagner

NPI 1285266957 · on the registry since 2020

Practice

Address
4545 Cordata Pkwy Ste Ll4
Bellingham, WA 98226
Phone
(360) 752-5622
Fax
(360) 752-5624
Organisation at this address
Peacehealth
St. Joseph Hospital
Madrona Medical Group,Ps
Madrona Medical Group, Ps
Madrona Medical Group, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Additional practice sites

  • 9414 Ne Fourth Plain Blvd, Vancouver, WA

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XP0200X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-15

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 Washington