Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Wagner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205531266

Benjamin Wagner, MD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (530) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205531266
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098

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