SearchOregon163WL0100X

Alyssa Wagner, IBCLC

NPI 1700352143 · on the registry since 2018

Practice

Address
353 Deadmond Ferry Rd
Springfield, OR 97477
Phone
(541) 337-4970
Organisation at this address
Peacehealth Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-23

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