Christian Micaiah Wagner
Christian Micaiah Wagner is a Physical Therapist in Wilsonville, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
29100 SW Town Center Loop W Ste 190Wilsonville, OR 97070-9317
Phone: (503) 443-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1417692351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2022 |
| Last updated in NPPES | May 4, 2022 |
| Certification date | May 4, 2022 |
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