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1356730139
DAVID WAGNER
PORTLAND, OR
NPI
1356730139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2558)
Enumeration Date
2015-01-15
Last Update Date
2015-01-15
Business Address
Dr. DAVID WAGNER PhD
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-7899
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Mailing Address
Dr. DAVID WAGNER PhD
8002 SW 37TH AVE
PORTLAND, OR 97219-3604
Phone number:
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