Individual provider · Type 1 NPI

Matthew Dale Wagner, MD

Urology Physician · Clackamas, OR

NPI number 1487869996 Active

Practice location

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777

Call (800) 813-2000 Map

Fax (855) 524-5255

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Other practice locations

  • 1230 7th Ave, Longview, WA 98632-3166 · (800) 813-2000
  • 3303 SW Bond Ave, CH10U, Portland, OR 97239-4501 · (503) 494-8311
  • 12607 SE Mill Plain Blvd, Vancouver, WA 98684-6055 · (800) 813-2000

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000XMD60003290 (WA)
Urology Physician 208800000XLL16353 (OR)
Urology Physician Primary 208800000XMD28198 (OR)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1487869996

Matthew Dale Wagner, MD's National Provider Identifier is 1487869996, issued on May 10, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Clackamas, OR. The record was last updated on Sep 8, 2025.