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Search › Washington › 376K00000X

Zackery Wagner

NPI 1720774177 · on the registry since 2023

Practice

Address
2323 Jensen St
Enumclaw, WA 98022
Phone
(360) 825-2541
Organisation at this address
Enumclaw Snf Operations, Llc
Evergreen Washington Healthcare Enumclaw, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-17

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