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

Clifford William Wagner, MD

Individual provider Family Medicine Physician · NPI 1245557198

Clifford William Wagner, MD is a Family Medicine Physician in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
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

9120 NE Vancouver Mall Loop Ste 230
Vancouver, WA 98662-6353
Phone: (360) 896-9393
Fax: (360) 896-0878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00032505 (WA)

Record details

NPI number1245557198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 30, 2010
Last updated in NPPESApril 30, 2010

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