ROBERT BASTIAN WAGNER (NPI# 1730298647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730298647 |
| Entity Type | Individual |
| Full Name | ROBERT BASTIAN WAGNER |
| Credential | MD |
| Practice Address |
22490 Sw Mountain Rd West Linn OR 97068-9619 |
| Practice Telephone | 5036388218 |
| Practice Fax Number | 5036389698 |
| Mailing Telephone | 5036388218 |
| Mailing Fax Number | 5036389698 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD08471 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 214510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266734 | Robert Wagner | Contractor | 15 Misery Mountain Ln, Croydon, NH 03773-6617 | 2017-03-15 |
| 1639498553 | Robert Fredrick Wagner Jr. | Dentist | 9616 Beauclerc Bluff Rd, Jacksonville, FL 32257-5703 | 2010-05-18 |
| 1821225160 | Robert Morris Wagner | Obstetrics & Gynecology | 1004 Erie Dr, Buffalo, WY 82834-2587 | 2009-06-13 |
| 1982875852 | Robert Michael Wagner | Psychologist | 160 East Kellogg Blvd., Suite 8500, St. Paul, MN 55101 | 2008-03-18 |
| 1467673111 | Robert Wagner | Counselor | 3837 N.w. 23rd Street, Oklahoma City, OK 73112 | 2007-05-01 |
| 1558499079 | Robert Wagner | Preventive Medicine | 2850 7th St Ste 100, Berkeley, CA 94710-2703 | 2007-02-28 |
| 1679600944 | Robert Linton Wagner | Dentist | 1402 Argillite Road, Flatwoods, KY 41139 | 2007-02-27 |
| 1932253036 | Robert Eugene Wagner | Chiropractor | 10324 Canyon Rd East, #105, Puyallup, WA 98373 | 2007-01-23 |
| 1164599700 | Robert Frederick Wagner | Dentist | 2803 Ne Everett St, Portland, OR 97232-3246 | 2006-11-29 |
| 1306925243 | Robert P Wagner | Dentist | 1216 16th St W, Suite 34, Billings, MT 59102-4100 | 2006-11-02 |
| Street Address |
22490 SW MOUNTAIN RD |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-9619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261043 | Steven R Crawford | Family Medicine | 22490 Sw Mountain Rd, West Linn, OR 97068-9619 | 2007-12-10 |
| 1831253673 | Poplar Hill Family Practice | Family Medicine | 22490 Sw Mountain Rd, West Linn, OR 97068-9619 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| 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 |
|---|---|---|---|---|
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1801087283 | Samantha Alison Mckay | Family Medicine | 2020 8th Avenue, Suite 100, West Linn, OR 97068 | 2007-08-09 |
| 1497952360 | Yen Hai Nguyen | Family Medicine | 1750 Blankenship Rd Ste 300, West Linn, OR 97068-5100 | 2007-07-02 |
| 1114959707 | West Linn Family Health Center | Family Medicine | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 | 2006-07-06 |
| 1083683247 | Laurens Foster Johansen | Family Medicine | 6352 Palomino Way, West Linn, OR 97068-2242 | 2006-03-17 |
| 1154313682 | Ronald Wayne Powell | Family Medicine | 1673 10th St., West Linn, OR 97068-4607 | 2005-08-19 |
| 1891948873 | Katrine Bengaard | Family Medicine | 2020 8th Ave, Suite 100, West Linn, OR 97068-4657 | 2008-11-04 |
| 1720261043 | Steven R Crawford | Family Medicine | 22490 Sw Mountain Rd, West Linn, OR 97068-9619 | 2007-12-10 |
| 1841485869 | Ronald W. Powell, D.o.,p.c. | Family Medicine | 1673 10th St, West Linn, OR 97068-4607 | 2007-09-12 |
| 1831253673 | Poplar Hill Family Practice | Family Medicine | 22490 Sw Mountain Rd, West Linn, OR 97068-9619 | 2006-12-19 |
| Find all providers in WEST LINN | ||||
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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.