Individual
CHRISTOPHER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(509) 230-7548
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(509) 230-7548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201800495RN
OR
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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