Search › Washington › 1041C0700X
Jeffrey Wagner
NPI 1396424842 · on the registry since 2023 · sole proprietor
Practice
- Address
- 123 Nw 36th St Ste 210
Seattle, WA 98107 - Phone
- (425) 640-7009
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-08
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 Washington