DR. Amy W Wagner, PH.D.

NPI #1003827965 in Portland, Oregon

Provider Information

NPI Number
1003827965
Entity Type
Individual
Name
DR. Amy W Wagner, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PH.D.
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3710 SW US VETERANS HOSPITAL RD
Address 2
V3-SATP
State
Oregon
ZIP Code
97239-2964
Phone
(503) 220-8262

Specialties & Taxonomy Codes

Specialty
Psychologist

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