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CLIFFORD WILLIAM WAGNER M.D.
NPI 1245557198
Family Medicine in Vancouver, WA

Active since April 30, 2010
9120 NE VANCOUVER MALL LOOP, SUITE 230, VANCOUVER, WA 98662(360) 896-9393(360) 896-0878 Get Directions Write a Review

NPPES record last updated: April 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifford William Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD WILLIAM WAGNER M.D. (NPI 1245557198) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD00032505) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1245557198
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLIFFORD WILLIAM WAGNERCredential: M.D.
Location Address9120 NE VANCOUVER MALL LOOP, SUITE 230Vancouver, WA 98662-6353
Mailing Address9120 Ne Vancouver Mall Loop, Suite 230Vancouver, WA 98662-6353 · (360) 896-9393 · Fax (360) 896-0878
Phone(360) 896-9393
Fax(360) 896-0878
Sole ProprietorYes
Enumeration DateApril 30, 2010
✔ NPI 1245557198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00032505
Definition

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.

9120 NE VANCOUVER MALL LOOP, Vancouver, WA 98662
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J WILLIAMS ENT, LLC
In Home Supportive Care
9120 NE VANCOUVER MALL LOOP, SUITE 240
VANCOUVER, WA 98662
Clark County (360) 253-6028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Wagner's NPI number?

The NPI number for Clifford Wagner is 1245557198. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Clifford Wagner located?

Clifford Wagner practices at 9120 NE Vancouver Mall Loop Suite 230, Vancouver, WA 98662. The listed phone number is (360) 896-9393.

What is Clifford Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clifford Wagner was last updated on April 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.