MARY ROSE WAGGONER (QMHA) – Peer Specialist, NPI 1083979264

MARY ROSE WAGGONER (QMHA) is a healthcare provider. based in Roseburg, Oregon. specializing in Peer Specialist. They hold the professional credentials QMHA. The NPI Number for MARY ROSE WAGGONER (QMHA) is 1083979264

Main info

Female
Name
MARY ROSE WAGGONER (QMHA)
NPI
1083979264
Phone
(541) 440-3532
Address
272 NW MEDICAL LOOP
Enumeration Date
12 July 2012
Last Update Date
14 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for MARY ROSE WAGGONER (QMHA)

  • 272 NW MEDICAL LOOP

    SUITE E

    ROSEBURG, OR 974715597

    Phone: (541) 440-3532

    Fax: (541) 440-3554

    Type: Mailing

  • 2700 NW STEWART PKWY

    ANNEX B

    ROSEBURG, OR 974711281

    Phone: (541) 440-3532

    Fax: (541) 440-3554

    Type: Location

  • 621 W MADRONE ST

    ROSEBURG, OR 974703090

    Phone: (541) 440-3532

    Fax: (541) 440-3554

    Type: Location

  • PO BOX 1121

    ROSEBURG, OR 974700254

    Phone: (541) 672-2691

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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

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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 97471)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY ROSE WAGGONER (QMHA)?
MARY ROSE WAGGONER (QMHA) — NPI 1083979264 — is the standard way to identify this listing.
Does CMS list MARY ROSE WAGGONER (QMHA) as active?
Yes — MARY ROSE WAGGONER (QMHA) is active in the NPI listing used on this page.
What is MARY ROSE WAGGONER (QMHA)'s specialty?
The listing groups MARY ROSE WAGGONER (QMHA) with Peer Specialist. Clinical services aligned with this taxonomy classification.
Where is MARY ROSE WAGGONER (QMHA) based?
MARY ROSE WAGGONER (QMHA) is tied to Roseburg, Oregon in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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