IndividualActive
Amanda Wagner, MD
NPI 1235457359 · Obstetrics & Gynecology Physician · Stayton, OR
Provider details
- NPI number
- 1235457359
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 43867 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1373 N 10th Ave
Stayton, OR 97383-2037
Phone: (503) 769-9522
Fax: (503) 769-9530
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 577
Stayton, OR 97383-0577
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.