Individual provider · Type 1 NPI

Fredrick Charles Wagner, MD

Radiation Oncology Physician · Portland, OR

NPI number 1609869635 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Fax (503) 216-2196

Mailing address

975 SE Sandy Blvd, Suite 200
Portland, OR 97214-1308

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001XMD09972 (OR)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1609869635

Fredrick Charles Wagner, MD's National Provider Identifier is 1609869635, issued on Aug 24, 2005. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.