August Bruce Wagner
August Bruce Wagner is a Professional Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
333 SW Taylor St Ste 200Portland, OR 97204-2446
Phone: (503) 446-2500
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence R8260 (OR) |
|---|
Record details
| NPI number | 1447017082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 29, 2024 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 22, 2024 |
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