Shannon Dee Wagner

NPI #1265073324 in Saint Helens, Oregon

Provider Information

NPI Number
1265073324
Entity Type
Individual
Name
Shannon Dee Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Sep 30, 2019
Last Updated
Sep 30, 2019

Practice Location

Address
185 N 4TH ST
State
Oregon
ZIP Code
97051-1535
Phone
(503) 397-5211

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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