CLIFFORD WILLIAM WAGNER (NPI# 1245557198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245557198 |
| Entity Type | Individual |
| Full Name | CLIFFORD WILLIAM WAGNER |
| Credential | M.D. |
| Practice Address |
9120 Ne Vancouver Mall Loop Suite 230 Vancouver WA 98662-6353 |
| Practice Telephone | 3608969393 |
| Practice Fax Number | 3608960878 |
| Mailing Telephone | 3608969393 |
| Mailing Fax Number | 3608960878 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00032505 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Street Address |
9120 NE VANCOUVER MALL LOOP SUITE 230 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780034561 | J Williams Ent, LLC | In Home Supportive Care | 9120 Ne Vancouver Mall Loop, Suite 240, Vancouver, WA 98662-6353 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851912430 | Martin Braun | Family Medicine | 750 West Broadway, #309, Vancouver, BC V5Z1H2 | 2020-05-05 |
| 1063973329 | James Salzman | Family Medicine | 4637 West 6th Avenue, Vancouver, BRITISH COLUMBIA V6R 1V6 | 2019-03-28 |
| 1144759168 | Ross Tyler Avila | Family Medicine | 505 Ne 87th Ave Ste 260, Vancouver, WA 98664-1965 | 2017-06-05 |
| 1881959765 | Richard Alan Simmons | Family Medicine | 204 Ne 108th St, Vancouver, WA 98685-5259 | 2012-07-07 |
| 1386925592 | Dbenzmdpllc | Family Medicine | 19110 Ne 21st St, Vancouver, WA 98684-0907 | 2011-08-31 |
| 1396078770 | Erol Dilli | Family Medicine | 517-750 West Broadway, Vancouver, BC V5Z 1H4 | 2009-09-16 |
| 1285866582 | Ester H See-sebastian | Family Medicine | 700 Ne 87th Ave Ste 260, Vancouver, WA 98664-4896 | 2009-08-20 |
| 1689812570 | Heidi Radlinski | Family Medicine | 100 East 33rd Street, Suite 100, Family Medicine - Obstetrics, Vancouver, WA 98663 | 2009-01-30 |
| 1578718755 | Zheru Li | Family Medicine | 3101 Se 192nd Ave Ste 106, Vancouver, WA 98683-1443 | 2008-12-01 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.