Search › Oregon › 106S00000X
Joshua Wagoner
NPI 1639938970 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6200 Sw Arctic Dr
Beaverton, OR 97005 - Phone
- (458) 256-0719
- Clinicians at this address
- 227
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-18
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