NPI 1003827965

Amy W Wagner, PHD

Practitioner Psychologist Portland, OR

Practice location

Address: 3710 SW US Veterans Hospital Rd V3-Satp, Portland, OR 97239-2964
Phone: (503) 220-8262
Fax: (360) 737-1419
Mailing address: 4205 NW Spruce St, Vancouver, WA 98660-1655

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2491 (WA)

Other Psychologist providers in Oregon →

Registry record

NPI: 1003827965
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.