IndividualActive
Amy Wagner, PH.D.
NPI 1003827965 · Psychologist · Portland, OR
Provider details
- NPI number
- 1003827965
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2491 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3710 Sw US Veterans Hospital Rd
V3-Satp
Portland, OR 97239-2964
Phone: (503) 220-8262
Fax: (360) 737-1419
Approximate (ZIP-level) locationGet directions
Mailing address
4205 Nw Spruce St
Vancouver, WA 98660-1655
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.