Wagoner, Catherine Y.H.

Wagoner, Catherine Y.H. is an individual health care provider with primary practice located at 9290 Se Sunnybrook Blvd Ste 120 , Clackamas OR 97015-6802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wagoner, Catherine Y.H. can be contacted via phone (503) 215-2110.

Contact Information

Primary practice address
9290 Se Sunnybrook Blvd Ste 120 Clackamas OR 97015-6802
Phone: (503) 215-2110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9839 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD171324 Oregon

Profile Details

NPI number 1487627550
LBN Legal business name Wagoner, Catherine Y.H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487627550 NPPES
Nevada MEDICAID 002016768

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