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

Susan E Wagner, PA-C

Individual provider Medical Physician Assistant · NPI 1588775357

Susan E Wagner, PA-C is a Medical Physician Assistant in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (503) 643-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00685 (OR)

Record details

NPI number1588775357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 11, 2007
Mailing address4855 Sw Western Ave, Beaverton, OR 97005-3460

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