FREDRICK CHARLES WAGNER (MD) – Radiation Oncology Physician, NPI 1609869635

FREDRICK CHARLES WAGNER (MD) is a healthcare provider. based in Portland, Oregon. specializing in Radiation Oncology Physician. They hold the professional credentials MD. They hold a License No. MD09972 (OR). The NPI Number for FREDRICK CHARLES WAGNER (MD) is 1609869635

Main info

Male
Name
FREDRICK CHARLES WAGNER (MD)
NPI
1609869635
Phone
(503) 963-2846
Address
975 SE SANDY BLVD
Enumeration Date
24 August 2005
Last Update Date
9 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FREDRICK CHARLES WAGNER (MD)

  • 975, Southeast Sandy Boulevard, Central Eastside, Buckman, Portland, Metro, Multnomah County, Oregon, 97214, United States

    SUITE 200

    PORTLAND, OR 972141308

    Phone: (503) 963-2846

    Fax: (503) 963-9505

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256603

    Phone: (503) 216-2195

    Fax: (503) 216-2196

    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.

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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.

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 97214)

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Reviews

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Frequently asked questions

Is there an official ID for FREDRICK CHARLES WAGNER (MD) in U.S. healthcare records?
The official identifier for FREDRICK CHARLES WAGNER (MD) is NPI 1609869635.
Active or inactive — what applies to FREDRICK CHARLES WAGNER (MD)?
You should see FREDRICK CHARLES WAGNER (MD) as active in CMS-hosted NPPES data.
What kind of doctor is FREDRICK CHARLES WAGNER (MD)?
FREDRICK CHARLES WAGNER (MD) is associated with Radiation Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is FREDRICK CHARLES WAGNER (MD) located near Portland?
FREDRICK CHARLES WAGNER (MD) currently maps to Portland, Oregon in this extract.
When was this NPI issued?
Enumeration for FREDRICK CHARLES WAGNER (MD) is noted as August 24, 2005 where the registry provides it.

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