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

Fredrick Charles Wagner, MD

Individual provider Radiation Oncology Physician · NPI 1609869635

Fredrick Charles Wagner, MD is a Radiation Oncology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
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

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2195
Fax: (503) 216-2196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD09972 (OR)

Record details

NPI number1609869635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing address975 Se Sandy Blvd, Suite 200, Portland, OR 97214-1308

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