Corey Wagner
Corey Wagner is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
1817 NE 6th AvePortland, OR 97212-3960
Phone: (503) 719-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 25-CRM-4021 (OR) |
|---|
Record details
| NPI number | 1861203036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2025 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
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