Individual provider · Type 1 NPI

Shannon Rose Wagner, OTD, OTR/L

Occupational Therapist · Wilsonville, OR

NPI number 1407518616 Active

Practice location

27501 SW 95th Ave Ste 960
Wilsonville, OR 97070-7713

Call (503) 657-8903 Map

Fax (503) 266-8632

Mailing address

610 High St
Oregon City, OR 97045-2241

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X350329 (OR)
Environmental Modification Occupational Therapist 225XE0001X350329 (OR)
Mental Health Occupational Therapist 225XM0800X350329 (OR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

7 other providers at this address

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About NPI 1407518616

Shannon Rose Wagner, OTD, OTR/L's National Provider Identifier is 1407518616, issued on Oct 6, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wilsonville, OR. The record was last updated on Feb 19, 2026.