Wagner, Andrew

Wagner, Andrew is an individual health care provider with primary practice located at 24076 Se Stark St Ste 200 , Gresham OR 97030-3376. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Wagner, Andrew can be contacted via phone (503) 674-7860.

Contact Information

Primary practice address
24076 Se Stark St Ste 200 Gresham OR 97030-3376
Phone: (503) 674-7860
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 423249 Oregon

Profile Details

NPI number 1073900320
LBN Legal business name Wagner, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Nov 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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