NPI 1073900320

Andrew Wagner

Practitioner Hand Occupational Therapist Gresham, OR

Practice location

Address: 24076 SE Stark St STE 200, Gresham, OR 97030-3376
Phone: (503) 674-7860

Registered specialties (2)

Hand Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XH1200X Licence 423249 (OR)

Other Occupational Therapist providers in Oregon →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1073900320
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2015
Record last updated: 29 Nov 2022

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.