SearchOregon171100000X

Gary Wagman, L. AC

NPI 1407987894 · on the registry since 2007 · sole proprietor

Practice

Address
21730 Willamette Dr
West Linn, OR 97068
Phone
(503) 636-1823
Clinicians at this address
2

Registry record

Primary taxonomy
171100000X
171100000X
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