| Fredrick Charles Wagner, MD | |
|
9205 Sw Barnes Rd, Portland, OR 97225-6603 | |
| (503) 216-2195 | |
| (503) 216-2196 |
| Full Name | Fredrick Charles Wagner |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 9205 Sw Barnes Rd, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609869635 | NPI | - | NPPES |
| 242487 | Medicaid | OR | |
| 8236705 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD09972 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fredrick Charles Wagner, MD 975 Se Sandy Blvd, Suite 200, Portland, OR 97214-1308 Ph: (503) 963-2846 | Fredrick Charles Wagner, MD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-2195 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Darshan Acharya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Suite 102, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 |