NPI 1073190773

Marina Alyssa Wagner, DO

Practitioner Family Medicine Physician Tigard, OR

Practice location

Address: 12442 SW Scholls Ferry Rd STE 206, Tigard, OR 97223-0804
Phone: (503) 216-9200

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO218072 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1073190773
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2021
Record last updated: 21 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.