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1881054153
MEGAN VAN WAGONER
PORTLAND, OR
NPI
1881054153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
MEGAN VAN WAGONER
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
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Mailing Address
MEGAN VAN WAGONER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-201-5763
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