MEGAN VAN WAGONER

PORTLAND, OR
NPI1881054153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
MEGAN VAN WAGONER
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
Mailing Address
MEGAN VAN WAGONER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-201-5763
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