Caleb Mark Wagoner, FNP-C

Nurse Practitioner · Medford, OR

Individual Active NPI

NPI number 1962365494

Practice location

2825 E Barnett Rd
Medford, OR 97504-8332
Phone
(541) 789-4230

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NPI record

NPI
1962365494
Entity type
Individual (Type 1)
Enumeration date
December 3, 2025
Last updated
December 3, 2025
Certified
December 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 10049367 OR

About Caleb Wagoner

Caleb Mark Wagoner, FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2825 E Barnett Rd, Medford, OR 97504-8332. The NPI number 1962365494 was assigned on December 3, 2025 and the record was last updated on December 3, 2025.

Caleb Wagoner lists a license in the registry: #10049367 (OR) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Mark Wagoner, FNP-C?

The NPI number is 1962365494.

What is the phone number of Caleb Wagoner?

The phone number listed for the practice location is (541) 789-4230.

Where is Caleb Wagoner located?

2825 E Barnett Rd, Medford, OR 97504-8332.

What is the taxonomy code for Caleb Wagoner?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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