Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487627550 Individual Practitioner Female Practitioner

Dr. Catherine Y.h. Wagoner , MD

Pediatrics • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Dr. Catherine Wagoner, MD is a registered healthcare professional specializing in Pediatrics in Clackamas, OR. Practice services are available at 9290 SE SUNNYBROOK BLVD STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9290 Se Sunnybrook Blvd Ste 120

Clackamas, OR 970156802

Telephone 5032152110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
43 Specialists

Practicing in Clackamas, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD171324

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NV 9839

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002016768 (NV)

Secondary Practice Locations

10581 Double R Blvd

Reno, NV 89511

Phone: 7753240766

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Alice Nayak , MD

Internal Medicine

NPI 1013962513

Doctor of Medicine (M.D.)

Michelle Combs , PYSD

Psychologist - Clinical

NPI 1053716621
Dr. Navin Nayak , MD

Internal Medicine

NPI 1063467181

Doctor of Medicine (M.D.)

NPI 1164462891

Doctor of Medicine (M.D.)

NPI 1174956049

Doctor of Medicine (M.D.)

NPI 1184884652

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Pediatrics (License #MD171324 in OR)

📍
Updated Practice Location February 16, 2021

Registered at 9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 970156802 (Tel: 5032152110)

📍
Updated Business Mailing Address February 16, 2021

Registered at PO BOX 3158, PORTLAND, OR 972083158

NPI Profile Active November 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2011

Registered at 10581 DOUBLE R BLVD, RENO, NV 89511 (Tel: 7753240766)

📍
Updated Business Mailing Address November 29, 2011

Registered at PO BOX 18069, RENO, NV 895110069 (Tel: 7753240766)

👤
Provider Name / Credentials Updated November 29, 2011

Recorded as CATHERINE WAGONER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2011

Pediatrics (License #9839 in NV)

🟢
Initial NPI Registration & Enumeration February 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487627550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2006
Last Update: March 25, 2021
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.