Individual provider · Type 1 NPI

Rose Waggoner, FNP

Family Nurse Practitioner · Sherwood, OR

NPI number 1598854960 Active

Practice location

16770 SW Edy Rd
Sherwood, OR 97140-9678

Fax (503) 216-9650

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X084058952N1 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1598854960

Rose Waggoner, FNP's National Provider Identifier is 1598854960, issued on Oct 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sherwood, OR. The record was last updated on Jul 1, 2021.