ROSE WAGGONER FNP
NPI 1598854960
Nurse Practitioner - Family in Sherwood, OR

Active since October 12, 2006
16770 SW EDY RD, SHERWOOD, OR 97140(503) 216-9600(503) 216-9650 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Waggoner Fnp NPPES

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

ROSE WAGGONER FNP (NPI 1598854960) is an individual family provider in Sherwood, Oregon, licensed in Oregon (084058952N1) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1598854960
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSE WAGGONERCredential: FNP
Location Address16770 SW EDY RDSherwood, OR 97140-9678
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Fax(503) 216-9650
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
NPI 1598854960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 084058952N1
16770 SW EDY RD, Sherwood, OR 97140

Other Identifiers 1

Medicaid084504OR

Other Providers at the Same Location NPPES 20

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

Internal Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Physical Therapist
16770 SW EDY RD
SHERWOOD, OR 97140
Internal Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Clinic/Center (Podiatric)
16770 SW EDY RD, SUITE 216
SHERWOOD, OR 97140
Nurse Practitioner
16770 SW EDY RD
SHERWOOD, OR 97140
Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Nurse Practitioner (Family)
16770 SW EDY RD
SHERWOOD, OR 97140

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 Rose Waggoner's NPI number?

The NPI number for Rose Waggoner is 1598854960. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Rose Waggoner located?

Rose Waggoner practices at 16770 SW Edy Rd, Sherwood, OR 97140. The listed phone number is (503) 216-9600.

What is Rose Waggoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rose Waggoner was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.