Individual provider · Type 1 NPI

Marina Alyssa Wagner, DO

Family Medicine Physician · Tigard, OR

NPI number 1073190773 Active

Practice location

12442 SW Scholls Ferry Rd Ste 206
Tigard, OR 97223-0804

Call (503) 216-9200 Map

Other practice locations

  • 2647 NE 33rd Ave, Portland, OR 97212-3647 · (503) 288-0083

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XDO218072 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1073190773

Marina Alyssa Wagner, DO's National Provider Identifier is 1073190773, issued on Mar 27, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tigard, OR. The record was last updated on Jan 21, 2026.