NPI 1447517008

Nan Nelson Wagner, RRT

Practitioner Registered Respiratory Therapist Portland, OR

Practice location

Address: 3550 N Interstate Ave, Portland, OR 97227-1196
Phone: (503) 331-6185
Mailing address: 9617 SW 2nd Ave, Portland, OR 97219-6503

Registered specialties

Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence RC00619 (OR)

Other Respiratory Therapist, Registered providers in Oregon →

Registry record

NPI: 1447517008
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2012
Record last updated: 19 Apr 2012

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.