Katje Wagner is a Psychologist in Portland, Oregon. Katje Wagner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katje Wagner is 1114196680. The last update date is 2016-06-22.
Katje Wagner's current location address is 1942 Nw Kearney St Ste 23, Portland, Oregon. You can contact this provider via phone number 5033135733. The mailing address for Katje Wagner is 1942 Nw Kearney St Ste 23, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katje Wagner |
|---|---|
| Address | 1942 Nw Kearney St Ste 23, Portland, Oregon |
| Phone Number | 5033135733 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, DIPLP |
NPI Number Detail
| NPI Number | 1114196680 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2016-06-22 |
Provider Mailing Address Detail
| Address | 1942 Nw Kearney St Ste 23 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972091465 |
| Phone Number | 5033135733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Katje Wagner by the Centers for Medicare & Medicaid Services?
The Katje Wagner has been assigned the NPI (National Provider Identifier) 1114196680 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Katje Wagner is located?
The Katje Wagner is situated at the following address: 1942 Nw Kearney St Ste 23, Portland, OR, 972091465.
What is Katje Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katje Wagner's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When was the Katje Wagner's 1114196680 issued?
The Katje Wagner's 1114196680 was issued on 2008-02-28.
As of what date were the Katje Wagner's details last updated?
The information pertaining to the Katje Wagner, including its address, specialty, and other details, was most recently updated on 2016-06-22.
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