Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Linn Wagamon, PTA

Individual provider Physical Therapy Assistant · NPI 1669026274

Amy Linn Wagamon, PTA is a Physical Therapy Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5701 SW Multnomah Blvd
Portland, OR 97219-3195
Phone: (503) 244-1107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09785 (OR)

Record details

NPI number1669026274
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJuly 31, 2019

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