Search › Oregon › 101YA0400X
Samuel Waggoner
NPI 1316658974 · on the registry since 2022
Practice
- Address
- 2727 Ne Flanders St
Portland, OR 97232 - Phone
- (503) 238-5203
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-05
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