IndividualActive
Audrey Wagner
NPI 1992161491 · Ambulatory Care Pharmacist · Portland, OR
Audrey Wagner is a Ambulatory Care Pharmacist provider in Portland, OR (NPI 1992161491).
Provider details
- NPI number
- 1992161491
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RPH0013676 (OR)
Practice location
727 W Burnside St
Portland, OR 97209-3514
Phone: (503) 228-4533
Approximate (ZIP-level) locationGet directions
Mailing address
232 Nw 6th Ave
Portland, OR 97209-3609
Registry dates
- Enumerated
- 2016-01-13
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.