Amanda Ellen Wagner, MD
Amanda Ellen Wagner, MD is an Obstetrics/Gynecology in Stayton, Oregon. Qualified in 2005, 21 years ago. Practices with Santiam Memorial Hospital, a 125-clinician group and accepts Medicare assignment. Licensed in Kentucky and Oregon.
- Years since qualifying
- 21
- Licensed in
- KY, OR
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1373 N 10th AveStayton, OR 97383-2037
Phone: (503) 769-9522
Fax: (503) 769-9530
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence MD215626 (OR) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 43867 (KY) |
Record details
| NPI number | 1235457359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 13, 2010 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
| Mailing address | Po Box 577, Stayton, OR 97383-0577 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Santiam Memorial Hospital — 125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |