Amy W Wagner is a Psychologist in Portland, Oregon. Amy W Wagner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Amy W Wagner is 1003827965. The last update date is 2007-07-08.
Amy W Wagner's current location address is 3710 Sw Us Veterans Hospital Rd, Portland, Oregon. You can contact this provider via phone number 5032208262 and fax number 3607371419. The mailing address for Amy W Wagner is 3710 Sw Us Veterans Hospital Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy W Wagner |
|---|---|
| Address | 3710 Sw Us Veterans Hospital Rd, Portland, Oregon |
| Phone Number | 5032208262 |
| Fax Number | 3607371419 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003827965 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3710 Sw Us Veterans Hospital Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392964 |
| Phone Number | 5032208262 |
| Fax Number | 3607371419 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2491 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Amy W Wagner by the Centers for Medicare & Medicaid Services?
The Amy W Wagner has been assigned the NPI (National Provider Identifier) 1003827965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Amy W Wagner?
The Amy W Wagner is situated at 3710 Sw Us Veterans Hospital Rd, in the city of Portland, state of OR, with the zip code 972392964.
What is Amy W Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy W Wagner's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Amy W Wagner receive the assignment of its 1003827965 from the Centers for Medicare & Medicaid Services?
The Amy W Wagner was issued its 1003827965 by the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the Amy W Wagner's information last updated?
The Amy W Wagner's information was last updated on 2007-07-08.