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

Individual provider Neurological Surgery Physician · NPI 1366860009

Kathryn Wagner, MD is a Neurosurgery in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2006, 20 years ago. Practices with Southern Oregon Neurosurgical and Spine Associates, PC, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
TX
In the registry since
2014
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

3101 SW 13th Ave Apt 19
Portland, OR 97239-3071
Phone: (503) 550-2870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 582526 (TX)

Record details

NPI number1366860009
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address2900 State St, Medford, OR 97504-8458

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Southern Oregon Neurosurgical And Spine Associates, Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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