Individual
CATHERINE Y.H. WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 97015-6802
(503) 215-2110
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9839
NV
208000000X
Pediatrics Physician
Primary
MD171324
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016768
—
NV
Enumeration date
02/09/2006
Last updated
03/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us