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
Provider Name :Catherine Y.h. Wagoner
Credential :MD
Gender :Female
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
Phone Number :503-215-2110
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
NPI Entity Type : Individual
First Enrolment Date : 09 Feb, 2006
Last Updated On : 25 Mar, 2021
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD171324OR
208000000XPediatricsNo9839NV
Legacy Identifiers:
Other legacy medical identifiers of Catherine Y.h. Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
002016768MEDICAIDNV
Other Practice Locations:
Practice AddressCity, StatePhone Number
10581 DOUBLE R BLVD,
RENO, NV, 89511
United States
RENO, NV775-324-0766
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 TypeEndpointAffiliationUseContentAddress
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.