IndividualActive
Matthew Wagner, M.D.
NPI 1487869996 · Urology Physician · Clackamas, OR
Provider details
- NPI number
- 1487869996
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD60003290 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(98/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9900 Se Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (800) 813-2000
Fax: (855) 524-5255
Street-level locationGet directions
Mailing address
500 Ne Multnomah St Ste 100
Portland, OR 97232-2031
Additional practice locations (3)
- 3303 Sw Bond AveCh10uPortland, OR 97239-4501Phone: (503) 494-8311Fax: (503) 494-8671
- 1230 7th AveLongview, WA 98632-3166Phone: (800) 813-2000Fax: (855) 524-5255
- 12607 Se Mill Plain BlvdVancouver, WA 98684-6055Phone: (800) 813-2000Fax: (855) 524-5255
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.