Jeffrey D Wagaman


Address: 2100 Caton Way Sw, Olympia, WA 98502-1105

Jeffrey D Wagaman (NPI# 1447377221, PAC ID# 1850352832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1447377221
PAC ID by PECOS 1850352832
Professional Enrollment ID I20041022000688
Full Name Jeffrey D Wagaman
Address 2100 Caton Way Sw
Olympia
WA 98502-1105
Gender M
Credential CP
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2100 Caton Way Sw, Olympia, WA 98502-1105

Organization Information

Office Location

Street Address 2100 CATON WAY SW
City OLYMPIA
State WA
Zip 98502-1105

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Brad A Payne Physical Therapy Steamboat Physical Therapy, Inc. 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049
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Competitor

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City OLYMPIA
Zip Code 98502
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty OLYMPIA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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