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

Dr. Matthew Dale Wagner, MD

Individual provider Urology Physician · NPI 1487869996

Dr. Matthew Dale Wagner, MD is an Urology in Clackamas, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2002, 24 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
24
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR, WA
In the registry since
2007
Specialties on file
3
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

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (800) 813-2000
Fax: (855) 524-5255
Show map & directions

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

Additional practice locations (3)

  • 3303 Sw Bond Ave, Portland, OR 97239-4501 — (503) 494-8311
  • 1230 7th Ave, Longview, WA 98632-3166 — (800) 813-2000
  • 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 — (800) 813-2000

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD28198 (OR)
Urology Physician Taxonomy 208800000X · Licence MD60003290 (WA)
Urology Physician Taxonomy 208800000X · Licence LL16353 (OR)

Record details

NPI number1487869996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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