IndividualActive
Amy Wagamon, PTA
NPI 1669026274 · Physical Therapy Assistant · Portland, OR
Provider details
- NPI number
- 1669026274
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 09785 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5701 Sw Multnomah Blvd
Portland, OR 97219-3195
Phone: (503) 244-1107
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2019-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.