Catherine Y.h. Wagoner
MD | Pediatrics | Female
Catherine Y.h. Wagoner, MD is a Clackamas, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Catherine Y.h. Wagoner is
9290 Se Sunnybrook Blvd Ste 120, Clackamas, Oregon - 97015-6802. She can be contacted on phone at
503-215-2110.
Catherine Y.h. Wagoner is a sole proprietor of her business.
NPI number (Unique professional ID) for Catherine Y.h. Wagoner is
1487627550 which was assigned by NPPES on 09 Feb, 2006 and it was last updated on 25 Mar, 2021.
Catherine Y.h. Wagoner license number is
MD171324 for Pediatrics (208000000X) in Oregon.
Catherine Y.h. Wagoner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Catherine Y.h. Wagoner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Catherine Y.h. Wagoner |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Catherine Y.h. Wagoner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9290 Se Sunnybrook Blvd Ste 120
Clackamas, OR, 97015-6802
United States |
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| Phone Number : | 503-215-2110 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487627550 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Feb, 2006 |
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| Last Updated On : | 25 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Catherine Y.h. Wagoner are as mentioned. Primary taxonomy code for Catherine Y.h. Wagoner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD171324 | OR |
| 208000000X | Pediatrics | No | 9839 | NV |
Legacy Identifiers:
Other legacy medical identifiers of Catherine Y.h. Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 002016768 | MEDICAID | NV | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
10581 DOUBLE R BLVD,
RENO, NV, 89511
United States | RENO, NV | 775-324-0766 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cwagoner1011267@oc.providencedirect.org
| No affiliation |
|
| 9290 SE SUNNYBROOK BLVD STE 120,
CLACKAMAS, OR, 97015-6802
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3158
Portland, OR, 97208-3158
United States |
|---|
Business Location:
Patients can refer following map for directions to
Catherine Y.h. Wagoner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.