CHRISTIAN MICAIAH WAGNER

WILSONVILLE, OR
NPI1417692351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-05-04
Last Update Date2022-05-04
Business Address
CHRISTIAN MICAIAH WAGNER
29100 SW TOWN CENTER LOOP W STE 190
WILSONVILLE, OR 97070-9317
Phone number: 503-443-6156
Mailing Address
CHRISTIAN MICAIAH WAGNER
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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