Individual provider · Type 1 NPI

Jeffrey David Wagner, DNP, ARNP

Family Nurse Practitioner · Portland, OR

NPI number 1023552114 Active

Practice location

3303 SW Bond Ave
Portland, OR 97239

Fax (503) 418-9401

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201801605NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1023552114

Jeffrey David Wagner, DNP, ARNP's National Provider Identifier is 1023552114, issued on Dec 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Sep 7, 2018.