NPI 1487869996

Matthew Dale Wagner, MD

Practitioner Urology Physician Clackamas, OR

Practice location

Address: 9900 SE Sunnyside Rd, Clackamas, OR 97015-9777
Phone: (800) 813-2000
Fax: (855) 524-5255
Mailing address: 500 NE Multnomah St STE 100, Portland, OR 97232-2031

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD28198 (OR)

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Registry record

NPI: 1487869996
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 8 Sep 2025

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.