CATHERINE Y.H. WAGONER

PROVIDENCE HEALTH AND SERVICES OREGON

Dr CATHERINE Y.H. WAGONER is a female medical professional, specializing in Pediatric Medicine. She graduated in 1998 from Oregon Health Sciences University School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

9290 SE SUNNYBROOK BLVD
SUITE 120
CLACKAMAS
OR
970156802

Tel: 5032152110

CATHERINE Y.H. WAGONER Information

Npi 1487627550
Pac Id 6002080470
Professional Enrollment Id I20190603002210
Last Name WAGONER
First Name CATHERINE
Middle Name Y.H.
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Gender F
Credential
Medical School Name OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty PEDIATRIC MEDICINE
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 9290 SE SUNNYBROOK BLVD
Line 2 Street Address SUITE 120
Marker Of Address Line 2 Suppression
City CLACKAMAS
State OR
Zip Code 970156802
Phone Number 5032152110
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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