SearchOregon1835P2201X

Audrey Wagner

NPI 1992161491 · on the registry since 2016

Practice

Address
727 W Burnside St
Portland, OR 97209
Phone
(503) 228-4533
Organisation at this address
Central City Concern
Central City Concern, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
76

Registry record

Primary taxonomy
1835P2201X
1835P2201X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-13

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