Individual
DR. MATTHEW DALE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(800) 813-2000
(855) 524-5255
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
LL16353
OR
208800000X
Urology Physician
Primary
MD28198
OR
208800000X
Urology Physician
MD60003290
WA
Other
Enumeration date
05/10/2007
Last updated
09/08/2025
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