IndividualActive
Nan Wagner, RRT
NPI 1447517008 · Registered Respiratory Therapist · Portland, OR
Provider details
- NPI number
- 1447517008
- Entity type
- Individual
- Primary specialty
- Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RRT
- Sex
- Female
- Sole proprietor
- No
- License
- RC00619 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 331-6185
Approximate (ZIP-level) locationGet directions
Mailing address
9617 Sw 2nd Ave
Portland, OR 97219-6503
Registry dates
- Enumerated
- 2012-04-19
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.