Wagner, Sarah C

Wagner, Sarah C is an individual health care provider with primary practice located at 280 S 1St Ave , Mill City OR 97360-2324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagner, Sarah C can be contacted via phone (503) 897-4100.

Contact Information

Primary practice address
280 S 1St Ave Mill City OR 97360-2324
Phone: (503) 897-4100
Fax: (503) 897-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 99 Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA161499 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3110 Arizona

Profile Details

NPI number 1720174931
LBN Legal business name Wagner, Sarah C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated May 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720174931 NPPES
Oregon MEDICAID 500657211
Oregon Other R01271179

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