ROSE WAGGONER (FNP) – Family Nurse Practitioner, NPI 1598854960

ROSE WAGGONER (FNP) is a healthcare provider. based in Portland, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 084058952N1 (OR). The NPI Number for ROSE WAGGONER (FNP) is 1598854960

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ROSE WAGGONER (FNP)
NPI
1598854960
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
12 October 2006
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032168820
Graduation Year
1996 (30 years ago)
PAC ID
7810917663
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20051123000180

Contacts

Secure Messaging
rwaggoner107729@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ROSE WAGGONER (FNP)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • Starbucks, 16770, Southwest Edy Road, Six Corners, Sherwood, Metro, Washington County, Oregon, 97140, United States

    SHERWOOD, OR 971409678

    Phone: (503) 216-9600

    Fax: (503) 216-9650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What identifier follows ROSE WAGGONER (FNP) across health systems?
The NPI 1598854960 uniquely identifies ROSE WAGGONER (FNP) in U.S. healthcare data.
Is ROSE WAGGONER (FNP)'s NPI status active today?
Active status means ROSE WAGGONER (FNP)'s NPI record is not deactivated in the public file.
How should patients interpret ROSE WAGGONER (FNP)'s specialty?
The extract shows Family Nurse Practitioner for ROSE WAGGONER (FNP). Clinical services aligned with this taxonomy classification.
Can patients visit ROSE WAGGONER (FNP) in Portland, Oregon?
For routing, start with Portland, Oregon for ROSE WAGGONER (FNP), then verify phone and hours locally.
Why is information missing for ROSE WAGGONER (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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