| Charles John Wagner, MD | |
|
1793 13th St Se, Salem, OR 97302-2541 | |
| (503) 362-8385 | |
| (503) 362-8435 |
| Full Name | Charles John Wagner |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 1793 13th St Se, Salem, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366540742 | NPI | - | NPPES |
| 227660 | Medicaid | OR | |
| 271171 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | OR14081 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles John Wagner, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Charles John Wagner, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 |
Stephen Ray Stewart, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6400 Fax: 503-399-7467 | |
Benjamin Robert Rahoy, DO Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Laura E Metzger, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2020 Capitol St Ne, Salem, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429 | |
James Robert Mcdonald, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 875 Oak St Se, #4000, Salem, OR 97301 Phone: 503-364-0189 Fax: 503-364-9288 |