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1003827965
AMY W WAGNER
PORTLAND, OR
NPI
1003827965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WA 2491)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. AMY W WAGNER Ph.D.
3710 SW US VETERANS HOSPITAL RD V3-SATP
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Dr. AMY W WAGNER Ph.D.
4205 NW SPRUCE ST
VANCOUVER, WA 98660-1655
Phone number: 360-750-0506
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