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

Charles John Wagner, MD

Individual provider Allergy & Immunology Physician · NPI 1366540742

Charles John Wagner, MD is an Allergy & Immunology Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1793 13th St SE
Salem, OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence OR14081 (OR)

Record details

NPI number1366540742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 5, 2016
Mailing address1793 13th St Se, Salem, OR 97302-2541

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