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1497828875
PAULA WAGENBACH
PORTLAND, OR
NPI
1497828875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1575)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. PAULA WAGENBACH PsyD
1818 NE IRVING ST
PORTLAND, OR 97232-2238
Phone number: 503-421-0092
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Mailing Address
Dr. PAULA WAGENBACH PsyD
1818 NE IRVING ST
PORTLAND, OR 97232-2238
Phone number: 503-421-0092
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