Individual provider · Type 1 NPI

Amy Linn Wagamon, PTA

Physical Therapy Assistant · Portland, OR

NPI number 1669026274 Active

Practice location

5701 SW Multnomah Blvd
Portland, OR 97219-3195

Call (503) 244-1107 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09785 (OR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1669026274

Amy Linn Wagamon, PTA's National Provider Identifier is 1669026274, issued on Jul 31, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2019.