Individual provider · Type 1 NPI

Mark Bastian Wagner, MD

Orthopaedic Surgery Physician · Tigard, OR

NPI number 1891710869 Active

Practice location

15755 SW Sequoia Pkwy, Suite 200
Tigard, OR 97224-7166

Call (503) 639-6002 Map

Fax (503) 639-1403

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XMD26810 (OR)
Orthopaedic Surgery Physician Primary 207X00000XMD26810 (OR)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1891710869

Mark Bastian Wagner, MD's National Provider Identifier is 1891710869, issued on Jul 12, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Tigard, OR. The record was last updated on Apr 7, 2015.