Cameron Kay Wagner, L.M.T

NPI #1629281944 in Astoria, Oregon

Provider Information

NPI Number: 1629281944
Entity Type: Individual
Name: Cameron Kay Wagner, L.M.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2935 MARINE DR
City: Astoria
State: Oregon
ZIP Code: 97103-2831
Phone: (503) 298-8517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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