DAVID WAGNER

PORTLAND, OR
NPI1356730139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  2558)
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
Dr. DAVID WAGNER PhD
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-7899
Mailing Address
Dr. DAVID WAGNER PhD
8002 SW 37TH AVE
PORTLAND, OR 97219-3604
Phone number: