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AUDREY WAGNER
NPI 1992161491
Pharmacist - Ambulatory Care in Portland, OR

Active since January 13, 2016
727 W BURNSIDE ST, PORTLAND, OR 97209(503) 228-4533 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Audrey Wagner NPPES

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

AUDREY WAGNER (NPI 1992161491) is an individual ambulatory care provider in Portland, Oregon, licensed in Oregon (RPH0013676) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1992161491
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameAUDREY WAGNER
Location Address727 W BURNSIDE STPortland, OR 97209-3514
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Phone(503) 228-4533
Sole ProprietorNo
Enumeration DateJanuary 13, 2016
✔ NPI 1992161491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in OR · RPH0013676
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
727 W BURNSIDE ST, Portland, OR 97209
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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.

ELONA KASSIA DELLABOUGH-GORMLEY
Nurse Practitioner (Family)
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4533
JULIE A SCHAAFF RN
Registered Nurse
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4533
BARBARA JEAN CORDOVA AYALA
Licensed Practical Nurse
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4533
MAGEN ELISE MERTENS
Nurse Practitioner (Psychiatric/Mental Health)
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4533
DR. STEPHANIE CULVER N.D.
Naturopath
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4533
CENTRAL CITY CONCERN
Pharmacy (Clinic Pharmacy)
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 944-4465
BLAKE GASSAWAY
Registered Nurse
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (503) 228-4618
MELINDA KOCSIS LPN
Licensed Practical Nurse
727 W BURNSIDE ST
PORTLAND, OR 97209
Multnomah County (971) 271-6103

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 Audrey Wagner's NPI number?

The NPI number for Audrey Wagner is 1992161491. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Audrey Wagner located?

Audrey Wagner practices at 727 W Burnside St, Portland, OR 97209. The listed phone number is (503) 228-4533.

What is Audrey Wagner's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Audrey Wagner was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.