Individual provider · Type 1 NPI

Corey Wagner

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1861203036 Active

Practice location

1817 NE 6th Ave
Portland, OR 97212-3960

Call (503) 719-7985 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-CRM-4021 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861203036

Corey Wagner's National Provider Identifier is 1861203036, issued on Jan 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 16, 2025.