Dr. Amy W Wagner
Psychologist
3710 Sw Us Veterans Hospital Rd V3-Satp
Portland
, Oregon 97239-2964
Dr. Amy W Wagner
Psychologist
3710 Sw Us Veterans Hospital Rd V3-Satp
Portland
, Oregon 97239-2964
(360) 750-0506
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Amy W Wagner
- 4205 Nw Spruce St
- Vancouver, WA
- Zip : 98660-1655
- Phone : (360) 750-0506
Second Address
- Dr. Amy W Wagner
- 3710 Sw Us Veterans Hospital Rd V3-Satp
- Portland, OR
- Zip : 97239-2964
- Fax : (360) 737-1419
- Phone : (503) 220-8262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 2491 | WA |
| Y | 103T00000X | Psychologist | 2491 | WA |
National Provider Identifier
| NPI | 1003827965 |
|---|---|
| Provider Name | Dr. Amy W Wagner |
| First Address | Vancouver, WA 98660-1655 |
| Second Address | Portland, OR 97239-2964 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.