Individual
MR. JASON PHILIP WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
(360) 306-8374
Mailing address
1304 W ILLINOIS ST, BELLINGHAM, WA 98225-1622
(360) 922-3030
(360) 306-8374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.60762828
WA
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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