IndividualActive
Fredrick Wagner, MD
NPI 1609869635 · Radiation Oncology Physician · Portland, OR
Provider details
- NPI number
- 1609869635
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- MD09972 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2195
Fax: (503) 216-2196
Approximate (ZIP-level) locationGet directions
Mailing address
975 Se Sandy Blvd
Portland, OR 97214-1308
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.