Sarah C Wagner in Mill City - Physician Assistant
Sarah C Wagner - NPI 1720174931
Sarah C Wagner is a Physician Assistant in Mill City, Oregon. Sarah C Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sarah C Wagner is 1720174931. The last update date is 2021-05-18.
Sarah C Wagner's current location address is Po Box 47, Mill City, Oregon. You can contact this provider via phone number 5038974100 and fax number 5038972673. The mailing address for Sarah C Wagner is Po Box 47, Mill City, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sarah C Wagner |
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Address | Po Box 47, Mill City, Oregon |
Phone Number | 5038974100 |
Fax Number | 5038972673 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1720174931 |
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Provider Enumeration Date | 2006-10-05 |
Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
Address | Po Box 47 |
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City | Mill City |
State | Oregon (OR) |
Post Code | 973600047 |
Phone Number | 5038974100 |
Fax Number | 5038972673 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 99 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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500657211 | OR | -- | |
R01271179 | OR | RAILROAD MEDICARE - PH&S |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sarah C Wagner by the Centers for Medicare & Medicaid Services?
The Sarah C Wagner has been assigned the NPI (National Provider Identifier) 1720174931 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sarah C Wagner?
The Sarah C Wagner is situated at Po Box 47, in the city of Mill City, state of OR, with the zip code 973600047.
What is Sarah C Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sarah C Wagner is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720174931 to Sarah C Wagner?
The Centers for Medicare & Medicaid Services assigned the 1720174931 to Sarah C Wagner on 2006-10-05.
As of what date was the information pertaining to Sarah C Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sarah C Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-18.