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Search › Oregon › 405300000X

Glavis Wagner

NPI 1720587553 · on the registry since 2018

Practice

Address
46314 Timine Way
Pendleton, OR 97801
Phone
(541) 966-9830
Organisation at this address
Yellowhawk Tribal Health Center
Yellowhawk Tribal Health Center
Yellowhawk Tribal Health Center
Yellowhawk Tribal Health Center Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
405300000X
405300000X
Also registered as
101YA0400X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-23

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