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

Dr. David Wagner, PHD

Individual provider Clinical Psychologist · NPI 1356730139

Dr. David Wagner, PHD is a Clinical Psychologist in Portland, Oregon. Graduated from University of Missouri, Columbia School of Medicine in 2013, 13 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
OR
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

707 SW Gaines St
Portland, OR 97239-2901
Phone: (503) 494-7899
Fax: (503) 494-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2558 (OR)

Record details

NPI number1356730139
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 15, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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