Search › Oregon › 175T00000X
John Johnson-Wagner
NPI 1144918533 · on the registry since 2023
Practice
- Address
- 2236 Se Belmont St
Portland, OR 97214 - Phone
- (503) 455-7699
- Organisation at this address
- Cascade Aids Project
Avita Drugs Oregon, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 4400 Ne Halsey St, Portland, OR
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon