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NPISignal

Individual Healthcare Provider

Matthew Dale Wagner, M.D.

NPI Record: ActiveUrology
NPI1487869996
Clackamas, Oregon

Provider's NPPES record last updated: September 8, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1487869996
Primary Specialty
Urology
Practice Location
Clackamas, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 7:53 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    Primary

    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

    Taxonomy code 208800000X

Provider-Reported License Information

Urology (Oregon)
MD28198
Urology (Washington)
MD60003290
Urology (Oregon)
LL16353
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9900 Se Sunnyside Rd

Clackamas, Oregon 97015-9777

Phone: (800) 813-2000

Additional Practice Location

3303 Sw Bond Ave

Ch10u

Portland, Oregon 97239-4501

Phone: (503) 494-8311

Fax: (503) 494-8671

Additional Practice Location

1230 7th Ave

Longview, Washington 98632-3166

Phone: (800) 813-2000

Fax: (855) 524-5255

Additional Practice Location

12607 Se Mill Plain Blvd

Vancouver, Washington 98684-6055

Phone: (800) 813-2000

Fax: (855) 524-5255

Record Information

Enumeration Date
May 10, 2007
Provider's NPPES Record Last Updated
September 8, 2025
Certification Date
September 8, 2025
NPISignal NPPES Dataset
August 2026

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