Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shannon Rose Wagner, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1407518616

Dr. Shannon Rose Wagner, OTD, OTR/L is an Occupational Therapist in Wilsonville, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
3
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

27501 SW 95th Ave Ste 960
Wilsonville, OR 97070-7713
Phone: (503) 657-8903
Fax: (503) 266-8632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 350329 (OR)
Environmental Modification Occupational Therapist Taxonomy 225XE0001X · Licence 350329 (OR)
Mental Health Occupational Therapist Taxonomy 225XM0800X · Licence 350329 (OR)

Record details

NPI number1407518616
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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