NPI
Glavis M Wagner
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-02-07
- Last updated
- 2020-07-23
Specialties
Licenses
- License OR
- 17-CRM-217
- License OR
- THW000002415
- License OR
- 17-CRM-217
Location
- Practice location
- 46314 Timine Way
- City
- Pendleton OR
- Postal code
- 97801
- Phone
- (541) 966-9830
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Pendleton, OR. 932 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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