Search › Oregon › 124Q00000X
Bouakeo Wagner, R.D.H
NPI 1386731792 · on the registry since 2006
Practice
- Address
- 190 Kingwood Ave Nw
Salem, OR 97304 - Phone
- (503) 315-0712
- Fax
- (503) 315-0721
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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