SearchOregon101YS0200X

Susan Wagner, QMHP, MS

NPI 1437353976 · on the registry since 2007

Practice

Address
1040 Allegheny Ave Sw
Ocean Crest School
Bandon, OR 97411
Phone
(541) 347-4940

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Also registered as
101YM0800X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon