Individual provider · Type 1 NPI

Amy W. Wagner, PhD

Psychologist · Portland, OR

NPI number 1003827965 Active

Practice location

3710 SW US Veterans Hospital Rd, V3-SATP
Portland, OR 97239-2964

Fax (360) 737-1419

Mailing address

4205 NW Spruce St
Vancouver, WA 98660-1655

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2491 (WA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1003827965

Amy W. Wagner, PhD's National Provider Identifier is 1003827965, issued on Aug 10, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.