Individual provider · Type 1 NPI

Andrew Wagner

Hand Occupational Therapist · Gresham, OR

NPI number 1073900320 Active

Practice location

24076 SE Stark St Ste 200
Gresham, OR 97030-3376

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Hand Occupational Therapist Primary 225XH1200X423249 (OR)

Hand Occupational Therapist: Definition to come...

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About NPI 1073900320

Andrew Wagner's National Provider Identifier is 1073900320, issued on Apr 23, 2015. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Gresham, OR. The record was last updated on Nov 29, 2022.