Individual provider · Type 1 NPI

Joanna Wagner, MENTAL HEALTH INTERN

Mental Health Counselor · Beaverton, OR

NPI number 1306759543 Active

Practice location

16365 NW Twin Oaks Drive, #200
Beaverton, OR 97006

Call (503) 828-3402 Map

Mailing address

16055 SW Walker Rd # 443
Beaverton, OR 97006-4942

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1306759543

Joanna Wagner, MENTAL HEALTH INTERN's National Provider Identifier is 1306759543, issued on Sep 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Sep 28, 2026.